Provider First Line Business Practice Location Address:
CIRCLE OF LIFE PSY HOSPITAL
Provider Second Line Business Practice Location Address:
1500 GRATIOT
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-245-0600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/21/2007