NPI | 1659054211 |
---|---|
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 | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-08-10 |
Last Update Date | 2023-08-10 |