UPI (Provider ID): 7131
Change Report (if Any):

Short Name: KETTERING YTH

Long Name 1: KETTERING YOUTH SERVICES
Long Name 2:

Address 1: 5350 LAMME ROAD
Address 2:

City: DAYTON
Zip Code: 45439
County: MONT

Contact: DAVID DRAWBAUGH
Title: DIR
Phone: 9375344620
FAX: 9375344609

Vendor: 7131

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012