Provider First Line Business Practice Location Address:
CHILDREN'S SPECIALTY CENTER
Provider Second Line Business Practice Location Address:
3950 BEAUBIEN STREET - 3RD FL
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48201-2119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-832-9330
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/08/2019