| NPI | 1093387250 |
|---|---|
| Other Name | LIGHTHOUSE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ANGELA L TALLO Co CEO Co Founder 281-881-7983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |