UPI (Provider ID): 3488
Change Report (if Any):
Short Name: CHILD GUIDE CTR
Long Name 1: CHILD GUIDANCE AND FAMILY
Long Name 2: SOLUTIONS
Address 1: 312 LOCUST STREET
Address 2:
City: AKRON
Zip Code: 443021878
County: SUMM
Contact: MARY SAFRON
Title: BILL
Phone: 3307620591
FAX: 3307622242
Vendor: 3488
Reports Status: CLAIMS/NO
MACSIS Last Update Date: 12/19/2011
File Produced: 14JUL2016