UPI (Provider ID): 10304
Change Report (if Any):

Short Name: PAULDING M/H

Long Name 1: PAULDING COUNSELING CENTER
Long Name 2:

Address 1: 501 MCDONALD PIKE
Address 2:

City: PAULDING
Zip Code: 45879
County: PAUL

Contact: Janet Govings
Title: ADMIN
Phone: 4193993636
FAX: 4193995915

Vendor: 10304

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012