Provider First Line Business Practice Location Address:
531 EAST 5TH ST.
Provider Second Line Business Practice Location Address:
PREFERRED CHILD AND FAMILY SERVICES
Provider Business Practice Location Address City Name:
BURLEY
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-678-9114
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2011