UPI (Provider ID): 10038
Change Report (if Any):

Short Name: COUNSELING CNTR

Long Name 1: THE COUNSELING CENTER OF
Long Name 2: WAYNE AND HOLMES COUNTIES

Address 1: 2285 BENDEN DRIVE
Address 2:

City: WOOSTER
Zip Code: 44691
County: WAYN

Contact: DAN NYE
Title:
Phone: 3302649029
FAX: 3302637251

Vendor: 10038

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/14/2011

File Produced: 19MAY2012