Lucy Idol Center, INC

NPI #1962477901 in Vermilion, Ohio

Provider Information

NPI Number
1962477901
Entity Type
Organization
Organization Name
Lucy Idol Center, INC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Feb 22, 2006
Last Updated
Nov 2, 2020

Practice Location

Address
435 NICHOLSON RD
State
Ohio
ZIP Code
44089-2536
Phone
(440) 967-6724

Authorized Official

Name
JOHN TAD PECK
Title
EXECUTIVE DIRECTOR
Phone
(440) 967-6724

Specialties & Taxonomy Codes

Specialty
Psychologist
Psychologist - Intellectual & Developmental DisabilitiesIntellectual & Developmental Disabilities
Interpreter
Day Training, Developmentally Disabled Services
Clinic/Center - Adult Day CareAdult Day Care
Non-emergency Medical Transport (VAN)
Technician - Attendant Care ProviderAttendant Care Provider
Technician - Personal Care AttendantPersonal Care Attendant
Home Health Aide
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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