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1902440886
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC RESIDENTIAL SUD
BALTIMORE, MD
NPI
1902440886
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Entity Type
Organization
Authorized Contact
VERNON HOLMES
CEO
202-651-1857
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2019-11-04
Last Update Date
2020-02-01
Business Address
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC RESIDENTIAL SUD
1723 GWYNNS FALLS PKWY
BALTIMORE, MD 21217-2098
Phone number: 443-708-5056
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Mailing Address
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC RESIDENTIAL SUD
1119 E MONUMENT ST
BALTIMORE, MD 21202-4119
Phone number: 443-708-5056
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