UPI (Provider ID): 1337
Change Report (if Any):

Short Name: SASI

Long Name 1: SUBSTANCE ABUSE SERVICES
Long Name 2:

Address 1: 1832 ADAMS STREET
Address 2:

City: TOLEDO
Zip Code: 43624
County: LUCA

Contact: CARROL PARKS
Title: EX DR
Phone: 4192437274
FAX: 4192431505

Vendor: 1337

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012