Provider First Line Business Practice Location Address:
140 SYLVESTER ROAD BLDG 500
Provider Second Line Business Practice Location Address:
NAVY DRUG ALCOHOL COUNSELOR SCHOOL
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92106-3521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-553-8335
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2020