Provider First Line Business Practice Location Address:
28755 EL TORO RD
Provider Second Line Business Practice Location Address:
COUNSELING OFFICE
Provider Business Practice Location Address City Name:
LAKE ELSINORE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92532-1912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-674-5354
Provider Business Practice Location Address Fax Number:
951-674-5227
Provider Enumeration Date:
02/19/2010