Provider First Line Business Practice Location Address:
16519 VICTOR ST SUITE #406
Provider Second Line Business Practice Location Address:
BEHAVIORAL HEALTH CONSULTANTS
Provider Business Practice Location Address City Name:
VICTORVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92392
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-843-0506
Provider Business Practice Location Address Fax Number:
760-843-0507
Provider Enumeration Date:
11/20/2006