MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 3395
Change Report (if Any):

Short Name: TURNING POINT

Long Name 1: CONCERNED CITIZENS AGAINST
Long Name 2: VIOLENCE AGAINST WOMEN INC

Address 1: PO BOX 875
Address 2:

City: MARION
Zip Code: 43302
County: MARI

Contact: PAULA ROLLER
Title: EX DR
Phone: 7403828988
FAX: 7403826554

Vendor: 3395

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/05/2012

File Produced: 19MAY2012