Individual provider · Type 1 NPI

Lisa K. Lucas

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Canton, OH

NPI number 1780470856 Active

Practice location

320 3rd St NW
Canton, OH 44702-1712

Call (330) 453-5472 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1780470856

Lisa K. Lucas's National Provider Identifier is 1780470856, issued on Apr 16, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Canton, OH. The record was last updated on Apr 16, 2025.