Provider First Line Business Practice Location Address:
THE CENTER FOR AUTISM 3905 FORD RD, SUITE 6
Provider Second Line Business Practice Location Address:
6
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19131-1913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-878-3400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2018