Provider First Line Business Practice Location Address:
761 TANK BATALION BLVD
Provider Second Line Business Practice Location Address:
BUILDING 286, DEPARTMENT OF SUBSTANCE ABUSE SERVICES
Provider Business Practice Location Address City Name:
FT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544-4852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-238-1446
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/24/2009