UPI (Provider ID): 1850
Change Report (if Any):

Short Name: CHOICES

Long Name 1: CHOICES FOR VICTIMS OF
Long Name 2: DOMESTIC VIOLENCE

Address 1: PO BOX 06157
Address 2:

City: COLUMBUS
Zip Code: 432066157
County: FRAN

Contact: COLLEEN FIRMAN
Title: FINDR
Phone: 6142247200
FAX: 6142247222

Vendor: 1850

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 04/13/2012

File Produced: 19MAY2012