Provider First Line Business Practice Location Address:
4300 COMMUNITY BLVD
Provider Second Line Business Practice Location Address:
COLLIN COUNTY DETENTION FACILITY
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75071-2535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-547-5288
Provider Business Practice Location Address Fax Number:
972-547-5390
Provider Enumeration Date:
05/21/2012