UPI (Provider ID): 1195
Change Report (if Any):

Short Name: NRTHWEST COUNSL

Long Name 1: NORTHWEST COUNSELING SERVICES
Long Name 2:

Address 1: 1560 FISHINGER ROAD
Address 2:

City: COLUMBUS
Zip Code: 43221
County: FRAN

Contact: SHELIA RODRIGUEZ
Title: FNDR
Phone: 6144577876
FAX: 6144577896

Vendor: 1195

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 02/15/2013

File Produced: 14JUL2016