Provider First Line Business Practice Location Address:
505 SOUTH CHURCH STREET
Provider Second Line Business Practice Location Address:
RANDOLPH COUNSELING CENTER
Provider Business Practice Location Address City Name:
ASHEBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-549-5732
Provider Business Practice Location Address Fax Number:
336-625-6113
Provider Enumeration Date:
12/06/2006