UPI (Provider ID): 6805
Change Report (if Any):
Short Name: REC RES-COLLEGE
Long Name 1: RECOVERY RESOURCES
Long Name 2:
Address 1: 3343 COMMUNITY COLLEGE AVENUE
Address 2:
City: CLEVELAND
Zip Code: 44115
County: CUYA
Contact: GORDON HEWITT
Title:
Phone: 2164314131
FAX: 2164314151
Vendor: 6973
Reports Status: NO CLAIM/N
MACSIS Last Update Date: 11/29/2011
File Produced: 14JUL2016