| NPI | 1801920483 |
|---|---|
| Doing Business As | LIGHTHOUSE ADULT CRISIS STABILIZATION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN G. MCINTOSH Service Provider 706-568-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: None) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-06-21 |