Organization
KMG HOLDINGS, INC.
Active
Other names
The Lighthouse
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KORY KALE (CFO)
(919) 795-4438
Entity
Organization
Contact information
Practice address
1521 RANCH RD, CLAYTON, NC 27520-6457
(919) 550-8038
(919) 882-6311
Mailing address
PO BOX 24914, RALEIGH, NC 27611-4914
(919) 795-4438
(919) 882-6311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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