UPI (Provider ID): 3201
Change Report (if Any):

Short Name: COLS URBAN LEAG

Long Name 1: THE COLUMBUS URBAN LEAGUE
Long Name 2:

Address 1: 788 MOUNT VERNON AVENUE
Address 2:

City: COLUMBUS
Zip Code: 43203
County: FRAN

Contact: OVELL K HARRISON
Title: DIR
Phone: 6142576300
FAX: 6142576327

Vendor: 3201

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/14/2011

File Produced: 19MAY2012