Provider First Line Business Practice Location Address:
3528 EMERALD ST
Provider Second Line Business Practice Location Address:
IN HOME COUNSELING
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-214-0525
Provider Business Practice Location Address Fax Number:
310-214-0525
Provider Enumeration Date:
10/01/2007