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NPI Code Detail

MEDICARE: FAMILY AND COMMUNITY SERVICES, INC.

MEDICARE: FAMILY AND COMMUNITY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center159OH
2261QM0855XAdolescent and Children Mental Health Clinic/Center159OH
3251B00000XCase Management Agency159OH

General Provider Information

NPI Number : 1932274065
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY AND COMMUNITY SERVICES, INC.
Provider Business Mailing Address
First Line : 143 GOUGLER AVE
Second Line :
City : KENT
State : OH
Zip : 44240-2401
Country : US
Telephone Number : 330-677-4124
Fax Number : 330-677-4134
Provider Business Practice Location Address
First Line : 143 GOUGLER AVE
Second Line :
City : KENT
State : OH
Zip : 44240-2401
Country : US
Telephone Number : 330-677-4124
Fax Number : 330-677-4134
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. MARK ANTHONY FRISONE
Credential :
Telephone Number : 330-677-4124
Provider Enumeration Date : 11/22/2006
Last Update Date : 09/11/2025

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