Provider First Line Business Practice Location Address:
COMMUNITY CORRECTIONS CENTER
Provider Second Line Business Practice Location Address:
5234 STATE ROUTE 63
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-933-9304
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2021