Provider First Line Business Practice Location Address:
RISE CENTER FOR AUTISM, 1070 W. HOUGHTON LAKE DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRUDENVILLE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48651
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-580-1959
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2024