Provider First Line Business Practice Location Address:
527 COBBS ST
Provider Second Line Business Practice Location Address:
NORTHERN LAKES COMMUNITY MENTAL HEALTH
Provider Business Practice Location Address City Name:
CADILLAC
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-775-3463
Provider Business Practice Location Address Fax Number:
231-775-1692
Provider Enumeration Date:
04/11/2013