Authorization Number : 580-1234
Agency Series No. : PHA-04C
Status : Active
Agency Web Link :
Agency : DMH
Confidential Description :
Division : DMH0330
Vital Description :
Section :
Record Title : Central Pharmacy - Agency Allocation
Revision : 0
Record Description : Form which documents line item 419 allocations to community mental health agencies. Includes board name, agency Central Pharmacy number, agency name, line item 419 allocation, and total line item 419 allocation.