NPI | 1740022854 |
---|---|
Doing Business As | LIGHTHOUSE INTEGRATIVE MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | LECHIA FREDERICK CEO, Nurse Practitioner 410-861-0740 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-06-10 |
Last Update Date | 2024-06-10 |