UPI (Provider ID): 1051
Change Report (if Any):

Short Name: COUNSELING-COLU

Long Name 1: THE COUNSELING CENTER OF
Long Name 2: COLUMBIANA COUNTY

Address 1: 40722 STATE ROUTE 154
Address 2:

City: LISBON
Zip Code: 44432
County: COLU

Contact: DAWNA OFFINEER
Title: ACCT
Phone: 3304249573
FAX: 3304247140

Vendor: 1051

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/22/2011

File Produced: 19MAY2012