UPI (Provider ID): 12351
Change Report (if Any):

Short Name: MOORE COUNSEL

Long Name 1: MOORE COUNSELING AND
Long Name 2: MEDIATION SERVICES INC

Address 1: 22639 EUCLID AVENUE
Address 2:

City: EUCLID
Zip Code: 44117
County: CUYA

Contact: MARTINA MOORE
Title: CEO
Phone: 2164041900
FAX: 2164041901

Vendor: 12351

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/06/2011

File Produced: 14JUL2016