UPI (Provider ID): 6846
Change Report (if Any):

Short Name: COUNSELING-SCIO

Long Name 1: SCIOTO COUNTY COUNSELING
Long Name 2: CENTER INC

Address 1: 1634 ELEVENTH STREET
Address 2:

City: PORTSMOUTH
Zip Code: 45662
County: SCIO

Contact: EDWARD HUGHES
Title: EX DR
Phone: 7403546685
FAX: 7403545061

Vendor: 6846

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/19/2011

File Produced: 19MAY2012