Provider First Line Business Practice Location Address:
6840 INDIANA AVE, SUITE 240
Provider Second Line Business Practice Location Address:
PATHWAYS COUNSELING CENTER
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92506-4298
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-369-7288
Provider Business Practice Location Address Fax Number:
951-369-1064
Provider Enumeration Date:
12/15/2006