Provider First Line Business Practice Location Address:
1607 THIRD STREET
Provider Second Line Business Practice Location Address:
WESTERN PA PSYCH CARE
Provider Business Practice Location Address City Name:
BEAVER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-725-8411
Provider Business Practice Location Address Fax Number:
724-728-8410
Provider Enumeration Date:
08/04/2006