Provider First Line Business Practice Location Address:
400 JOHNSON ST
Provider Second Line Business Practice Location Address:
NE.M.C.M.H.A.
Provider Business Practice Location Address City Name:
ALPENA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-356-7865
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2020