| NPI | 1982389003 |
|---|---|
| Doing Business As | LIGHTHOUSE WHOLEHEALTH FAMILY CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BERGIN Owner 303-929-6743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-10-11 |