Provider First Line Business Practice Location Address:
9535 LINTON HALL RD.
Provider Second Line Business Practice Location Address:
BENEDICTINE COUNSELING SERVICES
Provider Business Practice Location Address City Name:
BRISTOW
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20136-1217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-369-3800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2010