UPI (Provider ID): 10022
Change Report (if Any):

Short Name: HB COMM TT

Long Name 1: HB COMMUNITY TREATMENT TEAM
Long Name 2:

Address 1: 401 MARKET AVENUE NORTH
Address 2: SUITE 105

City: CANTON
Zip Code: 44702
County: STAR

Contact: ALISA GROCE COTYK
Title:
Phone: 3304551556
FAX: 3304557033

Vendor: 3275

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016