UPI (Provider ID): 1547
Change Report (if Any):

Short Name: MORGAN BH

Long Name 1: MORGAN BEHAVIORAL HEALTH
Long Name 2: CHOICES

Address 1: 915 S RIVERSIDE DRIVE
Address 2: PO BOX 522

City: MCCONNELSVILLE
Zip Code: 437560522
County: MORG

Contact: K DAVID WATTS
Title: EX DR
Phone: 7409626933
FAX: 7409626305

Vendor: 1547

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 04/19/2012

File Produced: 19MAY2012