UPI (Provider ID): 11218
Change Report (if Any):

Short Name: ATS BEHAVIORAL

Long Name 1: ATS BEHAVIORAL HEALTH INC
Long Name 2:

Address 1: 1320 WOODMAN DRIVE
Address 2: SUITE 100

City: DAYTON
Zip Code: 45432
County: MONT

Contact: JEFF KOLACZKOWSKI
Title: LSW
Phone: 9372231781
FAX: 9378530096

Vendor: 11218

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012