Provider First Line Business Practice Location Address:
625 GEORGIA AVE
Provider Second Line Business Practice Location Address:
CENTER FOR CARE AND COUNSELING FOR THE CSRA INC
Provider Business Practice Location Address City Name:
NORTH AUGUSTA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29841-3703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-819-8021
Provider Business Practice Location Address Fax Number:
803-819-9028
Provider Enumeration Date:
11/04/2005