Provider First Line Business Practice Location Address:
185 HOSPITAL DR
Provider Second Line Business Practice Location Address:
C/O FAMILY SERVICES OF WARREN COUNTY
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16365-4896
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-723-1330
Provider Business Practice Location Address Fax Number:
814-723-5744
Provider Enumeration Date:
08/04/2009