| Lenzy Family Institute | |
|
1930 Fulton Rd Nw Ste 103 Canton OH 44709-3526 | |
| (330) 956-5936 | |
| Not Available |
| Full Name | Lenzy Family Institute |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1930 Fulton Rd Nw Ste 103, Canton, Ohio |
| Authorized Official Name and Position | Elizabeth Lenzy (CEO) |
| Authorized Official Contact | 3309565936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lenzy Family Institute 1930 Fulton Rd Nw Ste 103 Canton OH 44709-3526 Ph: (330) 956-5936 | Lenzy Family Institute 1930 Fulton Rd Nw Ste 103 Canton OH 44709-3526 Ph: (330) 956-5936 |
| NPI Number | 1003307810 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003307810 | NPI | - | NPPES |
| 0054717 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0001362 (Ohio) | Primary |
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