| NPI | 1871330019 |
|---|---|
| Doing Business As | LIGHTHOUSE THERAPY INC. |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK OLVERA CEO/Clinician 951-383-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |