UPI (Provider ID): 1883
Change Report (if Any):

Short Name: TCN BEHAVIORAL

Long Name 1: TCN BEHAVIORAL HEALTH SERVICES
Long Name 2:

Address 1: 452 WEST MARKET STREET
Address 2:

City: XENIA
Zip Code: 45385
County: GREE

Contact: LYNN WEST
Title:
Phone: 9373768700
FAX: 9373768793

Vendor: 1883

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 03/02/2012

File Produced: 19MAY2012