UPI (Provider ID): 10034
Change Report (if Any):

Short Name: NE OH BEHAVIORA

Long Name 1: NORTHEAST OHIO BEHAVIORAL
Long Name 2: HEALTH

Address 1: 2795 FRONT STREET
Address 2: SUITE A

City: CUYAHOGA FALLS
Zip Code: 44221
County: SUMM

Contact: THERESA OGONEK
Title:
Phone: 3309457100
FAX: 3309454305

Vendor: 10034

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016