LIGHTHOUSE BEHAVIORAL HEALTH LLC WITHDRAWAL MANAGEMENT SERVICE NPI 1326507765

NPI Information

LIGHTHOUSE BEHAVIORAL HEALTH, LLC WITHDRAWAL MANAGEMENT SERVICE is a substance abuse rehabilitation facility in Baltimore, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LIGHTHOUSE BEHAVIORAL HEALTH, LLC WITHDRAWAL MANAGEMENT SERVICE NPI is 1326507765. The provider is registered as an organization entity type.

The provider's business location address is:

1119 E MONUMENT ST
BALTIMORE, MD
ZIP 21202-119
Phone: (443) 705-5056

The provider's authorized official is Vernon O Holmes .
The authorized official title is Ceo and has the following contact phone number (202) 651-1857.

The enumeration date for this NPI number is 3/15/2019 and was last updated on 3/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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