| Garrett County Lighthouse, Inc | |
|
418 Warwick Ave Cumberland MD 21502-3759 | |
| (240) 362-7082 | |
| Not Available |
| Full Name | Garrett County Lighthouse, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 418 Warwick Ave, Cumberland, Maryland |
| Authorized Official Name and Position | Amy Fike (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3013349126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrett County Lighthouse, Inc Po Box 116 Oakland MD 21550-0116 Ph: (301) 334-9126 | Garrett County Lighthouse, Inc 418 Warwick Ave Cumberland MD 21502-3759 Ph: (240) 362-7082 |
| NPI Number | 1184298754 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Certification Date | 04/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184298754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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