UPI (Provider ID): 3284
Change Report (if Any):

Short Name: COMP COUNSELING

Long Name 1: COMPREHENSIVE COUNSELING
Long Name 2: SERVICE OF MIDDLETOWN OHIO

Address 1: 1659 SOUTH BREIEL BOULEVARD
Address 2:

City: MIDDLETOWN
Zip Code: 45044
County: BUTL

Contact: DEBRA COTTER
Title: DIR
Phone: 5134240921
FAX: 5134244810

Vendor: 3284

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012