| NPI | 1518117597 |
|---|---|
| Other Name | LIGHTHOUSE COUNSELING & LIFE SKILLS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK CARPENTER Director 423-499-9335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-07-21 |