Fiscal Year 20XX Contractual AgreementCommunity Psychiatric Inpatient Agreement • August 3rd, 2022 • Michigan
Contract Type FiledAugust 3rd, 2022 JurisdictionTHIS AGREEMENT FOR PROVIDER SERVICES (this “Agreement”) is made and entered into on this 1st day of October, XXXX, by and between {{CMHSP}} whose administrative office address is {{CMHSP ADDRESS}} (hereinafter referred to as the “PAYOR” or “CMHSP,” and {{PROVIDER NAME]], whose business address is