Provider First Line Business Practice Location Address:
LIFESTANCE HEALTH
Provider Second Line Business Practice Location Address:
7300 DIXIE HWY.
Provider Business Practice Location Address City Name:
CLARKSTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-922-2300
Provider Business Practice Location Address Fax Number:
248-922-2304
Provider Enumeration Date:
02/26/2014