UPI (Provider ID): 8278
Change Report (if Any):

Short Name: WRIGHT ST-MOSES

Long Name 1: WRIGHT STATE UNIVERSITY SCHOOL
Long Name 2: OF PROFESSIONAL PSYCHOLOGY

Address 1: 9 N EDWIN C MOSES BLVD
Address 2:

City: DAYTON
Zip Code: 45407
County: MONT

Contact: JANEECE WARFIELD
Title: DIR
Phone: 9377754300
FAX: 9377754323

Vendor: 2573

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 06/27/2012

File Produced: 14JUL2016