UPI (Provider ID): 6750
Change Report (if Any):

Short Name: COMM NEW DIRECT

Long Name 1: COMMUNITY FOR NEW DIRECTION
Long Name 2: INC

Address 1: 2096 WEST MOUND STREET
Address 2:

City: COLUMBUS
Zip Code: 43223
County: FRAN

Contact: GREGORY A JEFFERSON
Title: EXDIR
Phone: 6142721464
FAX: 6142721486

Vendor: 6750

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/20/2011

File Produced: 19MAY2012