Provider First Line Business Practice Location Address:
LLC 906 WEST UNIVERSITY AVENUE SUITE 120
Provider Second Line Business Practice Location Address:
BEHAVIORAL CONSULTATION SERVICES OF NORTHERN ARIZONA
Provider Business Practice Location Address City Name:
FLAGSTAFF
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86001-7015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-522-3780
Provider Business Practice Location Address Fax Number:
928-774-4277
Provider Enumeration Date:
07/12/2013