Organization
LIGHTHOUSE RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HITES PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(419) 303-1311
Entity
Organization
Contact information
Practice address
2934 HANOVER DR, LIMA, OH 45805-2926
(419) 303-1311
(419) 463-9255
Mailing address
825 S CABLE RD STE C, LIMA, OH 45805-3467
(419) 303-1311
(419) 463-9255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15423
OH
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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