UPI (Provider ID): 1898
Change Report (if Any):

Short Name: CLEV CLINIC A/D

Long Name 1: CLEVELAND CLINIC
Long Name 2: ALCOHOL DRUG RECOVERY CENTER

Address 1: 9500 EUCLID AVENUE DESK P47
Address 2:

City: CLEVELAND
Zip Code: 44195
County: CUYA

Contact: GREGORY COLLINS
Title: CHAIR
Phone: 2164444836
FAX: 2164455747

Vendor: 1898

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016