Provider First Line Business Practice Location Address:
CR PSYCHOTHERAPY SERVICES LLC
Provider Second Line Business Practice Location Address:
21800 HAGGEITY RD #220
Provider Business Practice Location Address City Name:
NORTHVILLE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48167
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-887-1785
Provider Business Practice Location Address Fax Number:
866-422-3133
Provider Enumeration Date:
08/10/2006