MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 13297
Change Report (if Any):

Short Name: REACH

Long Name 1: REACH COUNSELING SERVICES
Long Name 2:

Address 1: 5445 SMITH ROAD
Address 2:

City: BROOK PARK
Zip Code: 44142
County: CUYA

Contact: MICHAEL KEARNEY
Title:
Phone: 2164531112
FAX: 2163626643

Vendor: 60128

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 04/13/2012

File Produced: 14JUL2016