Provider First Line Business Practice Location Address:
2300 RAMSEY ST
Provider Second Line Business Practice Location Address:
MENTAL HEALTH SERVICE LINE
Provider Business Practice Location Address City Name:
FAY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-482-5194
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2007