Provider First Line Business Practice Location Address:
EMBEDDED BEHAVIORAL HEALTH TEAM 5/6 KENNEDY CLINIC
Provider Second Line Business Practice Location Address:
BUILDING 2255 761ST TANK BATTALION
Provider Business Practice Location Address City Name:
FORT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-595-0750
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2016