Provider First Line Business Practice Location Address:
DSHS BEHAVIORAL HEALTH & TREATMENT CENTER / MAPLE LANE
Provider Second Line Business Practice Location Address:
20311 OLD HIGHWAY 9 SW
Provider Business Practice Location Address City Name:
CENTRAILIA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
564-464-5419
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2010