| NPI | 1982066478 |
|---|---|
| Former Legal Business Name | THE LIGHTHOUSE |
| Entity Type | Organization |
| Authorized Contact | ASHLE RICHARDSON Director 985-746-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |