Provider First Line Business Practice Location Address:
5000 LAMBS PATH WAY
Provider Second Line Business Practice Location Address:
THE YAHWEH CENTER CHILDREN'S VILLAGE
Provider Business Practice Location Address City Name:
CASTLE HAYNE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28429-6311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-675-3533
Provider Business Practice Location Address Fax Number:
910-675-3405
Provider Enumeration Date:
06/16/2006