| Life Cycles Development Center Llc | |
|
1507 Copley Rd Akron OH 44320-2501 | |
| (234) 571-2163 | |
| Not Available |
| Full Name | Life Cycles Development Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1507 Copley Rd, Akron, Ohio |
| Authorized Official Name and Position | Andre Mccray (CEO) |
| Authorized Official Contact | 2347889329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Cycles Development Center Llc 811 Frederick Blvd Akron OH 44320-1717 Ph: (234) 788-9329 | Life Cycles Development Center Llc 1507 Copley Rd Akron OH 44320-2501 Ph: (234) 571-2163 |
| NPI Number | 1407474737 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Certification Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407474737 | NPI | - | NPPES |
| 0293192 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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