UPI (Provider ID): 8107
Change Report (if Any):

Short Name: COALITION

Long Name 1: COALITION FOR A DRUG FREE
Long Name 2: GREATER CINCINNATI

Address 1: 2330 VICTORY PARKWAY
Address 2: SUITE 306

City: CINCINNATI
Zip Code: 45206
County: HAMI

Contact: SUSAN WILKE
Title:
Phone: 5137518000
FAX: 5137518001

Vendor: 8107

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012