UPI (Provider ID): 13765
Change Report (if Any):

Short Name: CLEVE RAPE CRIS

Long Name 1: CLEVELAND RAPE CRISIS CENTER
Long Name 2:

Address 1: 526 SUPERIOR AVENUE
Address 2: SUITE 1400

City: CLEVELAND
Zip Code: 44114
County: CUYA

Contact: KIRSTI MOUNCEY
Title: CONT
Phone: 2166196194
FAX: 2166196195

Vendor: 60271

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 09/11/2015

File Produced: 14JUL2016