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1326507765
LIGHTHOUSE BEHAVIORAL HEALTH, LLC WITHDRAWAL MANAGEMENT SERVICE
BALTIMORE, MD
NPI
1326507765
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Entity Type
Organization
Authorized Contact
VERNON O HOLMES
CEO
202-651-1857
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2019-03-15
Last Update Date
2019-03-15
Business Address
LIGHTHOUSE BEHAVIORAL HEALTH, LLC WITHDRAWAL MANAGEMENT SERVICE
1119 E MONUMENT ST
BALTIMORE, MD 21202-4119
Phone number: 443-705-5056
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Mailing Address
LIGHTHOUSE BEHAVIORAL HEALTH, LLC WITHDRAWAL MANAGEMENT SERVICE
1119 E MONUMENT ST
BALTIMORE, MD 21202-4119
Phone number: 443-705-5056
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