Provider First Line Business Practice Location Address:
36MDOS/SGOW (MENTAL HEALTH SERVICES)
Provider Second Line Business Practice Location Address:
ANDERSEN AFB, GUAM UNIT 14010
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96543-4010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
671-366-5125
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/15/2012