Provider First Line Business Practice Location Address:
119 S LEROY ST
Provider Second Line Business Practice Location Address:
C/O HOPE COUNSELING CENTER
Provider Business Practice Location Address City Name:
FENTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48430-2637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-516-0615
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2015