UPI (Provider ID): 1032
Change Report (if Any):

Short Name: ALC/CHEMICAL CN

Long Name 1: ALCOHOLISM COUNCIL OF BUTLER
Long Name 2: COUNTY OHIO INC

Address 1: 2935 HAMILTON MASON ROAD
Address 2:

City: HAMILTON
Zip Code: 45011
County: BUTL

Contact: TOM KELECHI
Title: DIR
Phone: 5138682100
FAX: 5138682267

Vendor: 1032

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012