Provider First Line Business Practice Location Address:
CHILDREN'S DEVELOPMENTAL SERVICES AGENCY - DEPT OF PED
Provider Second Line Business Practice Location Address:
IRONS BUILDING - OGLESBY DR.
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-737-1177
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/08/2006