NPI | 1124496039 |
---|---|
Former Legal Business Name | RESILIENCE TREATMENT CENTER |
Doing Business As | LIGHTFULLY BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | TRACY MARIE ROGERS VP Of Revenue 805-728-9093 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2015-09-09 |
Last Update Date | 2024-08-23 |