| NPI | 1518997097 |
|---|---|
| Doing Business As | LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS |
| Entity Type | Organization |
| Authorized Contact | DEANA THARP Chief Clinical Compliance Officer 580-319-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2022-09-19 |