Provider First Line Business Practice Location Address:
6216 AIRPARK DR
Provider Second Line Business Practice Location Address:
BEHAVORIAL HEALTH ASSOC
Provider Business Practice Location Address City Name:
CHATTANOOGA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-899-0024
Provider Business Practice Location Address Fax Number:
423-899-5688
Provider Enumeration Date:
12/13/2005