| Family Recovery Center | |
|
964 N Market St Lisbon OH 44432-9363 | |
| (330) 424-1468 | |
| Not Available |
| Full Name | Family Recovery Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 964 N Market St, Lisbon, Ohio |
| Authorized Official Name and Position | Stephen Vega (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3304241468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Recovery Center Po Box 464 Lisbon OH 44432-0464 Ph: (330) 424-1468 | Family Recovery Center 964 N Market St Lisbon OH 44432-9363 Ph: (330) 424-1468 |
| NPI Number | 1821053042 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 10/09/2018 |
| Medicare PECOS PAC ID | 0446273304 |
|---|---|
| Medicare Enrollment ID | O20060106000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821053042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | 1052, 0293 (Ohio) | Secondary |
| Provider Name | Tracy Lee Neuendorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275509275 PECOS PAC ID: 3971417858 Enrollment ID: I20040707001566 |
| Provider Name | Francis A Sunseri |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932106028 PECOS PAC ID: 2163494675 Enrollment ID: I20040806000176 |
| Provider Name | Zachary F Veres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285619239 PECOS PAC ID: 0143240374 Enrollment ID: I20051201000832 |
| Provider Name | Vincent A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791691 PECOS PAC ID: 1850314857 Enrollment ID: I20060105000111 |
| Provider Name | Jason Sindledecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023406394 PECOS PAC ID: 6204156219 Enrollment ID: I20150514001905 |
| Provider Name | Cheryle Herr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417399973 PECOS PAC ID: 7517265051 Enrollment ID: I20160415001333 |
| Provider Name | Paul Peace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134639925 PECOS PAC ID: 3072874064 Enrollment ID: I20180308001787 |
The Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40722 State Route 154, Lisbon, OH 44432 Phone: 330-424-9573 Fax: 330-424-0877 | |
Family Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 964 N Market St, Lisbon, OH 44432 Phone: 330-424-1468 Fax: 330-424-9844 |