UPI (Provider ID): 6702
Change Report (if Any):

Short Name: CN FAM/CHL ROCK

Long Name 1: CENTER FOR FAMILIES CHILDREN
Long Name 2: WEST COUNSELING MENTAL HLTH

Address 1: 3929 ROCKY RIVER DRIVE
Address 2:

City: CLEVELAND
Zip Code: 44111
County: CUYA

Contact: JOHN HECKMAN
Title: FISC
Phone: 2162525800
FAX: 2162529055

Vendor: 8227

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016