| 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 |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-10-13 |