NPI | 1184117418 |
---|---|
Doing Business As | LIGHTHOUSE COUNSELING AND MEDIATION SERVICES |
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN FORD CEO 330-853-6523 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: OH E0600491) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 081188) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2024-03-27 |