Provider First Line Business Practice Location Address:
ATTN: BEHAVIORAL HEALTH WORKS 4950 SAN BERNARDINO ST.
Provider Second Line Business Practice Location Address:
UNIT 101
Provider Business Practice Location Address City Name:
MONTCLAIR
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91763
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-249-1266
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/05/2022