Provider First Line Business Practice Location Address:
10230 NEW HAMPSHIRE AVE., SUITE 201
Provider Second Line Business Practice Location Address:
C/O EPHESIANS COUNSELING CENTER, 10230
Provider Business Practice Location Address City Name:
SILVER SPRING
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-422-6536
Provider Business Practice Location Address Fax Number:
301-439-4299
Provider Enumeration Date:
11/25/2013