Provider First Line Business Practice Location Address:
420 SE 29TH ST
Provider Second Line Business Practice Location Address:
SUITE 206 FAMILY LIVING INC
Provider Business Practice Location Address City Name:
TOPEKA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66605-1191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-234-8467
Provider Business Practice Location Address Fax Number:
785-234-0017
Provider Enumeration Date:
03/02/2007