| NPI | 1801293022 |
|---|---|
| Former Legal Business Name | LIGHTHOUSE THERAPEUTIC MENTORING & COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | DUWAUA HERBERT Owner 302-419-7343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q10001239) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |