Provider First Line Business Practice Location Address:
AVE TITO CASTRO CARR. 14
Provider Second Line Business Practice Location Address:
CENTRO DE TRATAMIENTO METHADONE
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-616-5787
Provider Business Practice Location Address Fax Number:
787-844-4130
Provider Enumeration Date:
09/13/2010