Organization
LUCAS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL PETRICK CNP (TAX ID OWNER)
(440) 879-1258
Entity
Organization
Contact information
Practice address
4304 WALTER AVE, PARMA, OH 44134-2150
(440) 879-1258
Mailing address
15400 PEARL RD STE 238, STRONGSVILLE, OH 44136-6000
(440) 879-1258
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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