UPI (Provider ID): 10044
Change Report (if Any):

Short Name: PEP SAGAMORE RD

Long Name 1: POSITIVE EDUCATION PROGRAM
Long Name 2: EASTWOOD DAY TREATMENT CENTER

Address 1: 1941 SAGAMORE ROAD
Address 2:

City: EUCLID
Zip Code: 44117
County: CUYA

Contact: THERESE JOHNSTON
Title:
Phone: 2164862999
FAX: 2164863951

Vendor: 10043

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016