UPI (Provider ID): 10685
Change Report (if Any):

Short Name: CAMBRIDGE CNSLG

Long Name 1: CAMBRIDGE COUNSELING CENTER
Long Name 2: INCORPORATED

Address 1: 317 HIGHLAND AVENUE
Address 2:

City: CAMBRIDGE
Zip Code: 43725
County: GUER

Contact: SUSAN LYNCH
Title: EXDIR
Phone: 7404359766
FAX: 7404324966

Vendor: 10685

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/22/2011

File Produced: 19MAY2012