Provider First Line Business Practice Location Address:
1423 FIELD AVE.
Provider Second Line Business Practice Location Address:
ADULT WELL BEING SERVICES
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-347-2070
Provider Business Practice Location Address Fax Number:
313-579-1819
Provider Enumeration Date:
11/19/2015