Provider First Line Business Practice Location Address:
MOULTRIE COUNTY COUNSELING CENTER
Provider Second Line Business Practice Location Address:
12 W HARRISON STREET
Provider Business Practice Location Address City Name:
SULLIVAN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-728-4358
Provider Business Practice Location Address Fax Number:
217-728-2270
Provider Enumeration Date:
09/18/2024