| NPI | 1811771942 |
|---|---|
| Doing Business As | LIGHTFULLY BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TRACY MARIE ROGERS VP Of Revenue 805-728-9093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |