UPI (Provider ID): 10284
Change Report (if Any):

Short Name: CRISIS CARE

Long Name 1: CRISIS CARE LINE
Long Name 2:

Address 1: PO BOX 266
Address 2:

City: VAN WERT
Zip Code: 45891
County: VANW

Contact: DEB STRIPE
Title: DIR
Phone: 4192384357
FAX: .

Vendor: 10284

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012