UPI (Provider ID): 3007
Change Report (if Any):

Short Name: SANDUSKY TASC

Long Name 1: SANDUSKY COUNTY TREATMENT
Long Name 2: ALTERNATIVES TO STREET CRIME

Address 1: 206 CLOVER STREET
Address 2:

City: FREMONT
Zip Code: 43420
County: SAND

Contact: KAREN LAFOUNTAIN
Title: EXDIR
Phone: 4193344644
FAX: 4193344356

Vendor: 3007

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012