Provider Demographics
NPI:1497806392
Name:CINDY LENZI AUTISM WAIVER PROVIDER LLC
Entity Type:Organization
Organization Name:CINDY LENZI AUTISM WAIVER PROVIDER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LENZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-694-6422
Mailing Address - Street 1:7035 ALLINGTON MANOR CIR E
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2839
Mailing Address - Country:US
Mailing Address - Phone:301-694-6422
Mailing Address - Fax:301-694-6422
Practice Address - Street 1:7035 ALLINGTON MANOR CIR E
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-2839
Practice Address - Country:US
Practice Address - Phone:301-694-6422
Practice Address - Fax:301-694-6422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services