UPI (Provider ID): 11001
Change Report (if Any):

Short Name: INTGRTED YOUTH

Long Name 1: INTEGRATED YOUTH SERVICES INC
Long Name 2:

Address 1: 1321 RESEARCH PARK DRVIE
Address 2:

City: BEAVERCREEK
Zip Code: 45432
County: GREE

Contact: DAVE NUSCHER
Title: EXDIR
Phone: 9374273837
FAX: 9374274516

Vendor: 11002

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012