Organization
FIRELANDS REGIONAL MEDICAL CENTER
Active
Other names
Firelands Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J MONCHER (EXECUTIVE VICE PRESIDENT & CFO)
(419) 557-7793
Entity
Organization
Contact information
Practice address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5169
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5177
(419) 557-5169
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2916787
—
OH
Enumeration date
05/21/2012
Last updated
09/24/2019
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