| NPI | 1376578757 |
|---|---|
| Doing Business As | LIGHTHOUSE COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN R MANDEVILLE Treasurer 704-341-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |