MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 1383
Change Report (if Any):

Short Name: SOLUTIONS BH HC

Long Name 1: SOLUTIONS BEHAVIORAL
Long Name 2: HEALTHCARE INC

Address 1: 246 NORTHLAND DRIVE
Address 2:

City: MEDINA
Zip Code: 44256
County: MEDI

Contact: BRADFORD WILLIAMS
Title: EXDIR
Phone: 3307239600
FAX: 3307221446

Vendor: 1383

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/23/2011

File Produced: 19MAY2012