UPI (Provider ID): 1299
Change Report (if Any):

Short Name: FRS COUNSELING

Long Name 1: FRS COUNSELING
Long Name 2:

Address 1: 313 CHILLICOTHE AVENUE
Address 2: PO BOX 823

City: HILLSBORO
Zip Code: 45133
County: HIGH

Contact: JOSEPH ADRAY
Title: EX DR
Phone: 9373934562
FAX: 9373932056

Vendor: 1299

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/22/2011

File Produced: 19MAY2012