Provider First Line Business Practice Location Address:
FUNCTIONAL BEHAVIOR SERVICES
Provider Second Line Business Practice Location Address:
2353 BADGER STREET
Provider Business Practice Location Address City Name:
MARQUETTE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49855-2302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-273-1121
Provider Business Practice Location Address Fax Number:
906-225-6706
Provider Enumeration Date:
10/17/2024