Organization
LIGHT TO MY PATH THERAPEUTIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY ROBINSON (PRESIDENT)
(910) 455-1922
Entity
Organization
Contact information
Practice address
99 VILLAGE DR STE 15, JACKSONVILLE, NC 28546-7060
(910) 455-1922
(910) 455-1921
Mailing address
99 VILLAGE DR STE 15, JACKSONVILLE, NC 28546-7060
(910) 455-1922
(910) 455-1921
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301134
—
NC
Enumeration date
03/13/2007
Last updated
02/02/2010
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