NPI | 1780151415 |
---|---|
Doing Business As | LIGHT BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DEBORAH BERNAL PEREZ Managing Member 702-272-8619 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-10-31 |
Last Update Date | 2019-09-20 |