Provider First Line Business Practice Location Address:
801 E CHAPMAN AVE
Provider Second Line Business Practice Location Address:
FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC.
Provider Business Practice Location Address City Name:
FULLERTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92831-3839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-865-0209
Provider Business Practice Location Address Fax Number:
909-865-0185
Provider Enumeration Date:
07/29/2010