UPI (Provider ID): 10408
Change Report (if Any):

Short Name: NB SUMM CTT CSN

Long Name 1: NB SUMMIT COMMUNITY TREATMENT
Long Name 2: TEAM CSN

Address 1: 157 WEST CEDAR STE B
Address 2:

City: AKRON
Zip Code: 44307
County: SUMM

Contact: DOUG KERN
Title: DIR
Phone: 3304677131
FAX: 3304674028

Vendor: 3275

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016