Organization
GUIDING LIGHT FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUIS PERSON (PROGRAM DIRECTOR)
(757) 724-3758
Entity
Organization
Contact information
Practice address
425 S MAIN ST UNIT I&J, EMPORIA, VA 23847-2300
(757) 724-3758
Mailing address
425 S MAIN ST UNIT I&J, EMPORIA, VA 23847-2300
(757) 724-3758
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QM0801X
—
VA
Enumeration date
11/13/2018
Last updated
11/13/2018
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