Organization
FIRELANDS REGIONAL MEDICAL CENTER
Active
Other names
Firelands Counseling & Recovery Services
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
292 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 663-3737
(419) 663-5096
Mailing address
292 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 663-3737
(419) 663-5096
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293725
—
OH
01
—
6745
MACSIS UPI
OH
Enumeration date
05/12/2006
Last updated
09/24/2019
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