| NPI | 1114690401 |
|---|---|
| Doing Business As | LIGHT AT THE END BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHAVAUN J JOHNSON CEO 314-882-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2021-08-24 |