UPI (Provider ID): 3422
Change Report (if Any):

Short Name: PART FOR YOUTH

Long Name 1: THE PARTNERSHIP FOR YOUTH
Long Name 2:

Address 1: 330 SOUTH LUDLOW STREET
Address 2:

City: DAYTON
Zip Code: 454022603
County: MONT

Contact: DENNIS STEWART
Title: EX DR
Phone: 9372234410
FAX: 9372227374

Vendor: 3422

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012