UPI (Provider ID): 10326
Change Report (if Any):

Short Name: PSYCARE-YNGSTWN

Long Name 1: PSYCARE INC
Long Name 2:

Address 1: 2980 BELMONT AVENUE
Address 2:

City: YOUNGSTOWN
Zip Code: 44505
County: MAHO

Contact: DOUGLAS DARNELL
Title:
Phone: 3307592310
FAX: 3307590018

Vendor: 10326

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012