NPI | 1598410524 |
---|---|
Doing Business As | LIGHTFULLY BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | TRACY MARIE ROGERS VP Of Revenue 805-728-9093 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2022-02-17 |
Last Update Date | 2024-08-19 |