UPI (Provider ID): 10277
Change Report (if Any):

Short Name: WESTWOOD BHVRL

Long Name 1: WESTWOOD BEHAVIORAL HEALTH
Long Name 2: CENTER INC

Address 1: 1158 WESTWOOD DRIVE
Address 2:

City: VAN WERT
Zip Code: 45891
County: VANW

Contact: LYNN JOHNSON
Title: CFO
Phone: 4192383434
FAX: 4192381955

Vendor: 10277

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/17/2012

File Produced: 19MAY2012