UPI (Provider ID): 7175
Change Report (if Any):

Short Name: MATT TLBT WOMEN

Long Name 1: CATHOLIC CHARITIES CORPORATION
Long Name 2: MATT TALBOT FOR WOMEN

Address 1: 7901 DETROIT AVENUE SUITE 200
Address 2:

City: CLEVELAND
Zip Code: 44102
County: CUYA

Contact: RUTH ABEL
Title: BUSAD
Phone: 2165922800
FAX: 2165922854

Vendor: 10092

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 01/03/2013

File Produced: 14JUL2016