Organization
LIGHTHOUSE COMMUNITY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA NATALIA OSELLA (PRESIDENT)
(786) 487-7006
Entity
Organization
Contact information
Practice address
7855 NW 12TH ST STE 117, DORAL, FL 33126-1818
(786) 487-7006
Mailing address
7855 NW 12TH ST STE 117, DORAL, FL 33126-1818
(786) 487-7006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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