Provider First Line Business Practice Location Address:
650 HUEBNER RD.
Provider Second Line Business Practice Location Address:
BH OUTPATIENT
Provider Business Practice Location Address City Name:
FT. RILEY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66442-4030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-239-3627
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2019