| Garrett County Lighthouse, Inc. | |
|
18 E. Oak Street Oakland MD 21550-2155 | |
| (301) 334-1642 | |
| Not Available |
| Full Name | Garrett County Lighthouse, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18 E. Oak Street, Oakland, 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. 20 E Oak St Oakland MD 21550-1802 Ph: (301) 334-9126 | Garrett County Lighthouse, Inc. 18 E. Oak Street Oakland MD 21550-2155 Ph: (301) 334-1642 |
| NPI Number | 1043816481 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043816481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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