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Organization

FAMILY RECOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK VENNETTI (CFO)
(330) 424-1468
Entity
Organization

Contact information

Practice address
964 N MARKET ST, LISBON, OH 44432-9363
(330) 424-1468
(330) 424-9844
Mailing address
PO BOX 464, LISBON, OH 44432-0464
(330) 424-1468
(330) 424-9844

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1052
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2864262
OH
05
3106258
OH
Enumeration date
04/24/2012
Last updated
07/17/2025
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