Provider First Line Business Practice Location Address:
765 MANITOU ROAD
Provider Second Line Business Practice Location Address:
LAKEVIEW COUNSELING CENTER
Provider Business Practice Location Address City Name:
MANITOU BEACH
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-403-4950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2009