UPI (Provider ID): 12425
Change Report (if Any):

Short Name: COUNSEL DIMENS

Long Name 1: COUNSELING DIMENSIONS OF
Long Name 2: OHIO INC

Address 1: 179 SOUTH MARKET STREET
Address 2:

City: LOGAN
Zip Code: 43138
County: HOCK

Contact: LARRY MACOSKIE
Title: EXDIR
Phone: 7403856300
FAX: 7403856556

Vendor: 12425

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012