UPI (Provider ID): 3319
Change Report (if Any):

Short Name: UMADAOP-AKRON

Long Name 1: URBAN MINORITY ALCOHOLISM AND
Long Name 2: DRUG ABUSE OUTREACH PROGRAM

Address 1: 665 WEST MARKET STREET
Address 2: SUITE 2D

City: AKRON
Zip Code: 44303
County: SUMM

Contact: JANICE BOURDA MERCIE
Title: EXDIR
Phone: 3303793467
FAX: 3303793465

Vendor: 6838

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 01/06/2012

File Produced: 14JUL2016