Provider First Line Business Practice Location Address:
906 W UNIVERSITY AVE - SUITE #120
Provider Second Line Business Practice Location Address:
BEHAVIORAL CONSULTATION SERVICES OF NORTHERN ARIZONA
Provider Business Practice Location Address City Name:
FLAGSTAFF
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86001-2986
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-522-3780
Provider Business Practice Location Address Fax Number:
928-563-0048
Provider Enumeration Date:
01/12/2009