UPI (Provider ID): 10032
Change Report (if Any):
Short Name: PASTOR COUN SER
Long Name 1: PASTORAL COUNSELING SERVICE
Long Name 2: OF SUMMIT COUNTY
Address 1: 282 WEST BOWERY STREET
Address 2:
City: AKRON
Zip Code: 44307
County: SUMM
Contact: JANET SPARROW
Title:
Phone: 3309964600
FAX: 3306430767
Vendor: 10032
Reports Status: CLAIMS/NO
MACSIS Last Update Date: 12/22/2011
File Produced: 14JUL2016