NPI 1013894153
Lucas Place
Practice location
- Address
- 4304 Walter Ave, Parma, OH 44134-2150
- Phone
- (440) 879-1258
- Mailing address
- 15400 Pearl Rd STE 238, Strongsville, OH 44136-6000
Authorised official
- Name
- Rachel Petrick
- Title
- Tax Id Owner
- Phone
- (440) 879-1258
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1013894153
- Entity type
- Organization
- NPI issued
- 20 Aug 2025
- Record last updated
- 20 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.