UPI (Provider ID): 1010
Change Report (if Any):

Short Name: ASHLAND CCOADA

Long Name 1: ASHLAND COUNTY COUNCIL ON
Long Name 2: ALCOHOLISM AND DRUG ABUSE

Address 1: 310 COLLEGE AVENUE
Address 2:

City: ASHLAND
Zip Code: 44805
County: ASHL

Contact: DENNIS DYER
Title: DIR
Phone: 4192897675
FAX: 4192892349

Vendor: 1010

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012