MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 10103
Change Report (if Any):

Short Name: TURNING PNT CSL

Long Name 1: TURNING POINT COUNSELING
Long Name 2: SERVICES INC

Address 1: 611 BELMONT AVENUE
Address 2:

City: YOUNGSTOWN
Zip Code: 44502
County: MAHO

Contact: JOSEPH SYLVESTER
Title: DIR
Phone: 3307442991
FAX: 3307442971

Vendor: 10103

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/31/2012

File Produced: 19MAY2012