UPI (Provider ID): 12342
Change Report (if Any):

Short Name: LAURELWOOD-WILL

Long Name 1: WINDSOR LAURELWOOD CENTER FOR
Long Name 2: BEHAVIORAL MEDICINE

Address 1: 35900 EUCLID AVENUE
Address 2:

City: WILLOUGHBY
Zip Code: 44094
County: LAKE

Contact: FRANK URBAN
Title: CFO
Phone: 4409533314
FAX: 4409533274

Vendor: 12342

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/15/2011

File Produced: 14JUL2016