Provider First Line Business Practice Location Address:
9201 UNIVERSITY CITY BLVD.
Provider Second Line Business Practice Location Address:
COUNSELING
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28223-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-687-6960
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2011