UPI (Provider ID): 10392
Change Report (if Any):

Short Name: TRI-STATE BEHAV

Long Name 1: TRI STATE BEHAVIORAL HEALTH
Long Name 2: CARE INC

Address 1: 157 EAST LAWN DRIVE
Address 2:

City: ST CLAIRSVILLE
Zip Code: 43950
County: BELM

Contact: JILL LIND
Title:
Phone: 7406954026
FAX: 7406954025

Vendor: 10392

Reports Status: NO CLIAMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012