| NPI | 1487104667 |
|---|---|
| Doing Business As | GUARDIAN LIGHTHOUSE, LTD |
| Entity Type | Organization |
| Authorized Contact | RYAN T PORTER Ownere 847-971-3579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005697) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |