UPI (Provider ID): 10343
Change Report (if Any):

Short Name: SB SBH CSN

Long Name 1: SB SUMMIT BEHAVIORAL HEALTH
Long Name 2: CSN

Address 1: 1101 SUMMIT ROAD
Address 2:

City: CINCINNATI
Zip Code: 45237
County: HAMI

Contact: MARILYN GALE
Title: DIR
Phone: 5139483906
FAX: .

Vendor: 3275

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016