UPI (Provider ID): 3126
Change Report (if Any):

Short Name: HARBOR

Long Name 1: HARBOR BEHAVIORAL HEALTHCARE
Long Name 2:

Address 1: 4334 SECOR ROAD
Address 2:

City: TOLEDO
Zip Code: 43623
County: LUCA

Contact: VIKKI WEIBLE
Title: MGR
Phone: 4194754449
FAX: 4194793230

Vendor: 3126

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/09/2011

File Produced: 19MAY2012