Provider First Line Business Practice Location Address:
1929 W. FILLMORE ST, BLDG C
Provider Second Line Business Practice Location Address:
THE NEIGHBORHOOD CHRISTIAN CLINIC
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-258-6008
Provider Business Practice Location Address Fax Number:
602-258-8388
Provider Enumeration Date:
03/30/2007