NPI | 1396766333 |
---|---|
Doing Business As | THE LIGHT PROGRAM |
Entity Type | Organization |
Authorized Contact | DEBBIE SATTLER Emr Helpdesk Supervisor 814-552-0229 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 125090) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2006-07-23 |
Last Update Date | 2025-01-14 |