UPI (Provider ID): 1888
Change Report (if Any):

Short Name: COMM TREAT CNTR

Long Name 1: COMMUNITY TREATMENT AND
Long Name 2: CORRECTION CENTER

Address 1: 1200 MARKET AVENUE SOUTH
Address 2:

City: CANTON
Zip Code: 44707
County: STAR

Contact: DEION CASH
Title: EX DR
Phone: 3304538401
FAX: 3304538430

Vendor: 1888

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012