UPI (Provider ID): 1197
Change Report (if Any):

Short Name: NORTH CENTRA MH

Long Name 1: NORTH CENTRAL MENTAL HEALTH
Long Name 2: SERVICES INC

Address 1: 1301 NORTH HIGH STREET
Address 2:

City: COLUMBUS
Zip Code: 43201
County: FRAN

Contact: ROBERT LOAR
Title: A DIR
Phone: 6142996600
FAX: 6144213111

Vendor: 1197

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/08/2011

File Produced: 19MAY2012