Organization
GUIDING LIGHT BEHAVIORAL HEALTH, INC.
Active
Organization
GUIDING LIGHT BEHAVIORAL HEALTH, INC.
Active
Other names
Guiding Light Drug and Alcohol Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD C LUNDY (VP)
(732) 531-2626
Entity
Organization
Contact information
Practice address
1930 HECK AVE, BLDG. 3 SUITE 1, NEPTUNE, NJ 07753-4476
(732) 774-0911
(732) 774-4061
Mailing address
PO BOX 368, OAKHURST, NJ 07755-0368
(732) 531-2626
(732) 531-8377
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000357-09
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212326
—
NJ
05
—
0212393
—
NJ
Enumeration date
12/17/2009
Last updated
12/17/2009
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