UPI (Provider ID): 10391
Change Report (if Any):

Short Name: CSN-NCOAST-CUYA

Long Name 1: NORTHCOAST BEHAVIORAL
Long Name 2: HEALTHCARE SYSTEM

Address 1: 5260 CATO STREET
Address 2:

City: MAPLE HEIGHTS
Zip Code: 44137
County: CUYA

Contact: TOM CHEEKS
Title: DIR
Phone: 3304677131
FAX: 3304674028

Vendor: 3275

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016