Provider First Line Business Practice Location Address:
2150 WHITNEY AVE
Provider Second Line Business Practice Location Address:
COMPREHENSIVE COUNSELING NETWORK
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38127-6662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-353-5440
Provider Business Practice Location Address Fax Number:
901-354-7425
Provider Enumeration Date:
10/03/2006