Provider First Line Business Practice Location Address:
329 S RIVER ST # 301
Provider Second Line Business Practice Location Address:
ANCHOR BAY COUNSELING CENTER LLC
Provider Business Practice Location Address City Name:
SPOONER
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54801-9726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
715-939-1393
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2006