Provider First Line Business Practice Location Address:
121 INTERSTATE BLVD SUITE 2 A
Provider Second Line Business Practice Location Address:
BREWER CENTER FOR PSYCHIATRY AND FAMILY DEVELOPMENT
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29615-5715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-561-7099
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2006