NPI | 1285174912 |
---|---|
Doing Business As | LIGHTHOUSE AUTISM CENTER - MI |
Entity Type | Organization |
Authorized Contact | COLIN SHERIDAN President 574-387-4313 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2017-02-28 |
Last Update Date | 2023-02-02 |