| NPI | 1588548945 |
|---|---|
| Doing Business As | GUIDING-LIGHT BEHAVEROL HEALTH |
| Entity Type | Organization |
| Authorized Contact | BOSE ROSE AJAYI CEO 202-730-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-09-10 |