UPI (Provider ID): 1116
Change Report (if Any):

Short Name: COMM ACTION

Long Name 1: COMMUNITY ACTION
Long Name 2: AGAINST ADDICTION

Address 1: 5209 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44103
County: CUYA

Contact: BRENDA ABRAMS
Title: EXDIR
Phone: 2168810765
FAX: 2164312190

Vendor: 1116

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/05/2012

File Produced: 14JUL2016