UPI (Provider ID): 6838
Change Report (if Any):

Short Name: UMADAOP-AKRN TX

Long Name 1: AKRON URBAN MINORITY ALCOHOLIS
Long Name 2: DRUG ABUSE OUTREACH PROGRAM

Address 1: 665 WEST MARKET STREET
Address 2:

City: AKRON
Zip Code: 44303
County: SUMM

Contact: JANICE MERCIER WADE
Title: EX DR
Phone: 3303793467
FAX: 3303793465

Vendor: 6838

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 08/07/2012

File Produced: 14JUL2016