| NPI | 1174899454 |
|---|---|
| Doing Business As | LIGHTHORSE INC |
| Entity Type | Organization |
| Authorized Contact | CARLENE H TAYLOR Exe Director 912-882-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2013-11-26 |