UPI (Provider ID): 12445
Change Report (if Any):

Short Name: ALTERNATIVES

Long Name 1: ALTERNATIVES CENTER FOR MENTAL
Long Name 2: WELLNESS

Address 1: 14055 CEDAR ROAD SUITE 107
Address 2:

City: SOUTH EUCLID
Zip Code: 44118
County: CUYA

Contact: JANITTA MARBURY
Title:
Phone: 2163713420
FAX: 2163713430

Vendor: 12445

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016