UPI (Provider ID): 10045
Change Report (if Any):

Short Name: PEP HOPEWELL DT

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

Address 1: 11500 FRANKLIN BLVD
Address 2:

City: CLEVELAND
Zip Code: 44102
County: CUYA

Contact: KEN MEYER
Title:
Phone: 2163614400
FAX: 2163612340

Vendor: 10043

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016