UPI (Provider ID): 12753
Change Report (if Any):

Short Name: MIAMI CO MH CNT

Long Name 1: MIAMI COUNTY MENTAL HEALTH
Long Name 2: CENTER

Address 1: 3130 NORTH DIXIE HIGHWAY
Address 2:

City: TROY
Zip Code: 45373
County: MIAM

Contact: REGINA KRAUS
Title: EXDIR
Phone: 9373357166
FAX: 9374407076

Vendor: 12753

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012