UPI (Provider ID): 1029
Change Report (if Any):

Short Name: COMM COUNSELING

Long Name 1: COMMUNITY COUNSELING
Long Name 2: AND CRISIS CENTER

Address 1: 110 SOUTH COLLEGE STREET
Address 2:

City: OXFORD
Zip Code: 45056
County: BUTL

Contact: CAROLYN BARKER
Title: EX DR
Phone: 5135234149
FAX: 5135234145

Vendor: 1029

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 02/06/2012

File Produced: 19MAY2012