UPI (Provider ID): 10985
Change Report (if Any):

Short Name: COMPREH BH-MAHO

Long Name 1: COMPREHENSIVE BEHAVIORAL
Long Name 2: HEALTH ASSOCIATES INC

Address 1: 104 JAVIT COURT
Address 2:

City: AUSTINTOWN
Zip Code: 44515
County: MAHO

Contact: MARY BETH DEBORDIE
Title: PRES
Phone: 3307974050
FAX: 3307974090

Vendor: 10986

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/05/2012

File Produced: 19MAY2012