Vendor Number: 3570
Short Name: CHILD ADOL SER
Long Name 1: Child and Adolescent
Long Name 2: Behavioral Health
Address Line 1: 919 Second Street NE
Address Line 2:
City: Canton
Zip Code: 447041132
Contact: Lillian Blosfield
Phone: 3304547917
VENDR Record Last Updated: 07/29/2008
This HTML Page Produced on: 19MAY2012
Associated Provider(s):
(3570) CHILD AND ADOLESCENT BEHAVIORAL HEALTH
Updated: 19MAY2012