UPI (Provider ID): 3340
Change Report (if Any):
Short Name: UNISON BHG
Long Name 1: UNISON BEHAVIORAL HEALTH GROUP
Long Name 2: INC
Address 1: 544 EAST WOODRUFF AVENUE
Address 2:
City: TOLEDO
Zip Code: 436241342
County: LUCA
Contact: COURTNEY WEISS
Title: CODIR
Phone: 4192429577
FAX: 4193216913
Vendor: 3340
Reports Status: CLAIMS/BH
MACSIS Last Update Date: 12/27/2011
File Produced: 14JUL2016