UPI (Provider ID): 11167
Change Report (if Any):

Short Name: CORE BH MARLOWE

Long Name 1: CORE BEHAVIORAL HEALTH CENTERS
Long Name 2: MARLOWE GLENHAVEN PROGRAMS

Address 1: 1623 MARLOWE AVENUE
Address 2:

City: CINCINNATI
Zip Code: 45224
County: HAMI

Contact: WILLIAM HOSTLER
Title: CFO
Phone: 5136810326
FAX: 5136813596

Vendor: 10155

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012