NPI | 1902440886 |
---|---|
Doing Business As | LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1723 GWYNNS FALLS PARKWAY |
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 | 2025-09-11 |