Provider First Line Business Practice Location Address:
105 W NORTH COLLEGE ST
Provider Second Line Business Practice Location Address:
THE HUMANIST CENTER, SUITE 8
Provider Business Practice Location Address City Name:
YELLOW SPRINGS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45387-1500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-767-9700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/20/2006