UPI (Provider ID): 10181
Change Report (if Any):

Short Name: COMM MH-BELM

Long Name 1: COMMUNITY MENTAL HEALTH
Long Name 2: SERVICES

Address 1: 68353 BANNOCK ROAD
Address 2:

City: ST CLAIRSVILLE
Zip Code: 43950
County: BELM

Contact: JAMES DEGARMO
Title: CFO
Phone: 7406959344
FAX: 7406957777

Vendor: 10181

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012