UPI (Provider ID): 10978
Change Report (if Any):

Short Name: CHILDREN/VIOLEN

Long Name 1: CHILDREN WHO WITNESS VIOLENCE
Long Name 2:

Address 1: 3740 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: DUANA KAYE
Title: MS
Phone: 2163618640
FAX: .

Vendor: 10097

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016