UPI (Provider ID): 10155
Change Report (if Any):

Short Name: CORE BH-GLENWAY

Long Name 1: CORE BEHAVIORAL HEALTH CENTERS
Long Name 2:

Address 1: 5837 HAMILTON AVENUE
Address 2:

City: CINCINNATI
Zip Code: 45224
County: HAMI

Contact: WILIAM HOSTLER
Title: CFO
Phone: 5135417577
FAX: 5135415895

Vendor: 10155

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012