UPI (Provider ID): 6822
Change Report (if Any):

Short Name: CN FAM/CHL AIDS

Long Name 1: CENTER FOR FAMILIES CHILDREN
Long Name 2: AIDS TASK FORCE

Address 1: 2728 EUCLID AVENUE
Address 2:

City: CLEVELAND
Zip Code: 44115
County: CUYA

Contact: RIC KRUSZYNSKI
Title: EXDIR
Phone: 2166210766
FAX: 2162415452

Vendor: 8227

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 14JUL2016