Provider First Line Business Practice Location Address:
8787 HALL RD
Provider Second Line Business Practice Location Address:
CLINICA SIERRA VISTA-LAMONT ADULT BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
LAMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93241-1953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-845-3717
Provider Business Practice Location Address Fax Number:
661-845-3385
Provider Enumeration Date:
08/27/2014