Lighthouse Behavioral Health Center Llc | |
1119 E Monument St Baltimore MD 21202-4119 | |
(443) 708-5056 | |
Not Available |
Full Name | Lighthouse Behavioral Health Center Llc |
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Speciality | Clinic/center |
Location | 1119 E Monument St, Baltimore, Maryland |
Authorized Official Name and Position | Vernon Holmes (CEO) |
Authorized Official Contact | 2026511857 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lighthouse Behavioral Health Center Llc 1119 E Monument St Baltimore MD 21202-4119 Ph: (443) 708-5056 | Lighthouse Behavioral Health Center Llc 1119 E Monument St Baltimore MD 21202-4119 Ph: (443) 708-5056 |
NPI Number | 1740745694 |
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Provider Enumeration Date | 02/05/2019 |
Last Update Date | 02/05/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740745694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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