UPI (Provider ID): 12883
Change Report (if Any):

Short Name: VIAQUEST BH

Long Name 1: VIAQUEST BEHAVIORAL HEALTH OF
Long Name 2: OHIO

Address 1: 525 METRO PLACE NORTH
Address 2: SUITE 300

City: DUBLIN
Zip Code: 430175320
County: FRAN

Contact: NANCY SWARTWOOD
Title: DIR
Phone: 6143369600
FAX: 6143391819

Vendor: 12883

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/05/2012

File Produced: 19MAY2012