| 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 |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-09-20 |