| NPI | 1477937522 |
|---|---|
| Doing Business As | LIGHTHOUSE BEHAVIOR SERVICES |
| Doing Business As | LIGHTHOUSE THERAPEUTICS |
| Doing Business As | LIGHTHOUSE INSTITUTE OF NEUROBEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | HUI-CHUNG JACQUELINA KING Director Of Operations 763-318-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-09-5794) |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2025-07-10 |