Organization
TRANSFOMATION OASIS RESIDENTIAL TREATMENT PROGRAM LLC
Active
Parent organization
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC
Authorized official
VERNON HOLMES JR. (CEO)
(443) 320-2694
Entity
Organization
Contact information
Practice address
9957 CAMPUS WAY S, LARGO, MD 20774-2151
(443) 320-2694
Mailing address
1119 E MONUMENT ST, BALTIMORE, MD 21202-4119
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/17/2026
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