UPI (Provider ID): 3379
Change Report (if Any):

Short Name: SUBSTANCE ABUSE

Long Name 1: SUBSTANCE ABUSE INITIATIVE OF
Long Name 2: GREATER CLEVELAND

Address 1: ROCKEFELLER BUILDING
Address 2: 614 SUPERIOR AVE NW SUITE 642

City: CLEVELAND
Zip Code: 44113
County: CUYA

Contact: RICHARD MCCAIN
Title:
Phone: 2167818281
FAX: 2167718285

Vendor: 3379

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016