Provider First Line Business Practice Location Address:
3120 COHASSET RD STE 6
Provider Second Line Business Practice Location Address:
VALLEY OAK CHILDREN'S SERVICES
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95973-0978
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-895-3572
Provider Business Practice Location Address Fax Number:
530-895-8524
Provider Enumeration Date:
08/02/2010