UPI (Provider ID): 10115
Change Report (if Any):

Short Name: LINCOLN COUNSEL

Long Name 1: LINCOLN COUNSELING CENTER
Long Name 2:

Address 1: 42707 NORTH RIDGE ROAD
Address 2:

City: ELYRIA
Zip Code: 44035
County: LORA

Contact: ANGELA GARCIA
Title: CEO
Phone: 4403246113
FAX: 4403242093

Vendor: 10115

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012