UPI (Provider ID): 10064
Change Report (if Any):

Short Name: NORTHLAND

Long Name 1: NORTHLAND COUNSELING SERVICES
Long Name 2: OF MEDINA COUNTY INC

Address 1: 801 EAST WASHINGTON STREET
Address 2: STE 150

City: MEDINA
Zip Code: 44256
County: MEDI

Contact: TED SCHIFFMAN
Title:
Phone: 3307259191
FAX: 3307648798

Vendor: 10064

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016