UPI (Provider ID): 1359
Change Report (if Any):

Short Name: COMPASS-LUCA

Long Name 1: COMPREHENSIVE ADDICTION
Long Name 2: SERVICE SYSTEMS COMPASS

Address 1: 2465 COLLINGWOOD BOULEVARD
Address 2:

City: TOLEDO
Zip Code: 43620
County: LUCA

Contact: ROSS CHABAN
Title: EX DR
Phone: 4192418827
FAX: 4193216830

Vendor: 1359

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012