Provider First Line Business Practice Location Address: 
400 WASHINGTON ST
    Provider Second Line Business Practice Location Address: 
CATHOLIC CHARITIES, 1ST FLOOR
    Provider Business Practice Location Address City Name: 
READING
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
19601-3915
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
610-376-7144
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
10/18/2012