UPI (Provider ID): 10178
Change Report (if Any):

Short Name: YOUTH ADVC-FRAN

Long Name 1: OHIO YOUTH ADVOCATE PROGRAM
Long Name 2:

Address 1: 1445 SUMMIT STREET
Address 2:

City: COLUMBUS
Zip Code: 43201
County: FRAN

Contact: CHRISTINA LYLES
Title: CFO
Phone: 6145831001
FAX: 6145831003

Vendor: 10178

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012