Provider First Line Business Practice Location Address:
RISE CENTER FOR AUTISM
Provider Second Line Business Practice Location Address:
1840 WEST HOUGHTON LAKE DR UNIT 2
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:
989-202-4900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2018