UPI (Provider ID): 11205
Change Report (if Any):

Short Name: MELS BH SERVICE

Long Name 1: MELS BEHAVIORAL HEALTH
Long Name 2: SERVICES INC

Address 1: 7505 READING ROAD
Address 2: SUITE 201 202

City: CINCINNATI
Zip Code: 45237
County: HAMI

Contact: CHRISTOPHER BUCHANAN
Title: BUSMG
Phone: 5139488119
FAX: 5139489329

Vendor: 11205

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012