UPI (Provider ID): 10004
Change Report (if Any):

Short Name: AMI-FRANKLIN CO

Long Name 1: ALLIANCE FOR THE MENTALLY ILL
Long Name 2: OF FRANKLIN COUNTY

Address 1: 4100 NORTH HIGH STREET
Address 2: SUITE 103

City: COLUMBUS
Zip Code: 43214
County: FRAN

Contact: ANNE ROBINSON
Title: PRES
Phone: 6142620114
FAX: 6142620149

Vendor: 10004

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012