Provider First Line Business Practice Location Address:
33712 WESCOATS RD
Provider Second Line Business Practice Location Address:
UNIT 2 CAPE BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
LEWES
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19958-4934
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-727-9661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2006