UPI (Provider ID): 12412
Change Report (if Any):

Short Name: FAMILY VIOLENCE

Long Name 1: FAMILY VIOLENCE PREVENTION
Long Name 2: CENTER OF GREENE COUNTY

Address 1: PO BOX 271
Address 2:

City: XENIA
Zip Code: 45385
County: GREE

Contact: DAVE HAMILTON
Title:
Phone: 9373768526
FAX: 9373768529

Vendor: 12412

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/20/2011

File Produced: 19MAY2012