Provider First Line Business Practice Location Address:
2750 S. STATE ST
Provider Second Line Business Practice Location Address:
HURON VALLEY CONSULTATION CENTER
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-662-3365
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2008