Provider First Line Business Practice Location Address:
780 W GRAND RIVER AVE
Provider Second Line Business Practice Location Address:
BRIGHTON PSYCHIATRIC CONSULTANTS, PLLC
Provider Business Practice Location Address City Name:
BRIGHTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48116-2392
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-494-7189
Provider Business Practice Location Address Fax Number:
810-494-7126
Provider Enumeration Date:
09/07/2006