UPI (Provider ID): 10030
Change Report (if Any):

Short Name: COMM BEHAV HLTH

Long Name 1: COMMUNITY BEHAVIORAL HEALTH
Long Name 2: CENTER

Address 1: 3355 RICHMOND ROAD
Address 2: BLDG A SUITE 225

City: BEACHWOOD
Zip Code: 441224438
County: CUYA

Contact: ARUN CHATTREE
Title:
Phone: 2168311494
FAX: 2168319931

Vendor: 10030

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/08/2011

File Produced: 14JUL2016