UPI (Provider ID): 6703
Change Report (if Any):

Short Name: CN FAM/CHL RIDG

Long Name 1: CENTER FOR FAMILIES CHILDREN
Long Name 2: SOUTHWEST CSLG MENTAL HLT

Address 1: 5955 RIDGE ROAD
Address 2:

City: PARMA
Zip Code: 44129
County: CUYA

Contact: BETTY ROSSI
Title:
Phone: 4408880300
FAX: 4408881686

Vendor: 8227

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016