MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10080
Change Report (if Any):

Short Name: HELP HOTLINE

Long Name 1: HELP HOTLINE CRISIS CENTER INC
Long Name 2:

Address 1: PO BOX 46
Address 2:

City: YOUNGSTOWN
Zip Code: 445010046
County: MAHO

Contact: DUANE PICCIRILLI
Title: HU RE
Phone: 3307475111
FAX: 3307474055

Vendor: 10080

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012