Provider First Line Business Practice Location Address:
HOUSE PSYCHIATRIC GROUP, INC.
Provider Second Line Business Practice Location Address:
1322 E. SHAW #410
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93710-7904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-226-1316
Provider Business Practice Location Address Fax Number:
559-226-1315
Provider Enumeration Date:
06/09/2008