UPI (Provider ID): 10360
Change Report (if Any):

Short Name: ACHIEV CTR-CLEV

Long Name 1: ACHIEVEMENT CENTERS
Long Name 2: FOR CHILDREN

Address 1: 4255 NORTHFIELD ROAD
Address 2:

City: HIGHLAND HILLS
Zip Code: 441282811
County: CUYA

Contact: DEANNA HALE
Title:
Phone: 2162929700
FAX: 2162929721

Vendor: 10360

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/10/2012

File Produced: 14JUL2016