UPI (Provider ID): 10331
Change Report (if Any):
Short Name: SAFY-HAMI
Long Name 1: SPECIALIZED ALTERNATIVES FOR
Long Name 2: FAMILIES AND YOUTH
Address 1: 260 NORTHLAND BLVD
Address 2:
City: CINCINNATI
Zip Code: 45246
County: HAMI
Contact: VERONICA CONLEY
Title:
Phone: 5137717239
FAX: 5137713878
Vendor: 10332
Reports Status: CLAIMS/NO
MACSIS Last Update Date: 01/13/2012
File Produced: 19MAY2012