UPI (Provider ID): 1350
Change Report (if Any):
Short Name: RESCUE
Long Name 1: RESCUE MENTAL HEALTH SERVICES
Long Name 2:
Address 1: 3350 COLLINGWOOD BLVD
Address 2:
City: TOLEDO
Zip Code: 43610
County: LUCA
Contact: JIM KARASEK
Title: EX DR
Phone: 4192559585
FAX: 4192552801
Vendor: 1350
Reports Status: CLAIMS/BH
MACSIS Last Update Date: 01/19/2012
File Produced: 19MAY2012