| Family Solutions Residential Services, Llc | |
|
3757 Cleveland Ave Nw Ste 101 Canton OH 44709-2374 | |
| (330) 323-3592 | |
| Not Available |
| Full Name | Family Solutions Residential Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3757 Cleveland Ave Nw Ste 101, Canton, Ohio |
| Authorized Official Name and Position | Lonnie Ree Johnson (OWNER) |
| Authorized Official Contact | 3303233592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Solutions Residential Services, Llc 3757 Cleveland Ave Nw Ste 101 Canton OH 44709-2374 Ph: (330) 323-3592 | Family Solutions Residential Services, Llc 3757 Cleveland Ave Nw Ste 101 Canton OH 44709-2374 Ph: (330) 323-3592 |
| NPI Number | 1609616531 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609616531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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