| NPI | 1114690401 |
|---|---|
| Doing Business As | LIGHT AT THE END BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHAVAUN J JOHNSON CEO 480-825-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2024-08-13 |