Provider First Line Business Practice Location Address:
798 LEESVILLE ROAD
Provider Second Line Business Practice Location Address:
PEACHTREE COUNSELING CENTER INC
Provider Business Practice Location Address City Name:
LYNCHBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-239-1928
Provider Business Practice Location Address Fax Number:
434-239-8779
Provider Enumeration Date:
12/21/2006