UPI (Provider ID): 10049
Change Report (if Any):

Short Name: PEP GREENVIEW

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

Address 1: 14201 SOUTHINGTON ROAD
Address 2:

City: SHAKER HEIGHTS
Zip Code: 44120
County: CUYA

Contact: DANTE JACKSON
Title:
Phone: 2167518453
FAX: 2167513780

Vendor: 10043

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016