Provider First Line Business Practice Location Address:
318 DONNELLEY ST
Provider Second Line Business Practice Location Address:
JOHNSON COUNTY COUNSELING CENTER
Provider Business Practice Location Address City Name:
MOUNTAIN CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-727-2100
Provider Business Practice Location Address Fax Number:
423-727-2110
Provider Enumeration Date:
10/12/2006