Organization
LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1116 E 20TH STREET LLC
Active
Parent organization
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC
Other names
DBA SUD RES AT 1116 E 20TH STREET, Lighthouse Behavioral Health Center at 1116 E 20th Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC
Authorized official
VERNON HOLMES JR. (CEO)
(443) 320-2696
Entity
Organization
Contact information
Practice address
1116 E 20TH ST, BALTIMORE, MD 21218-6312
(443) 478-0384
Mailing address
1119 E MONUMENT ST, BALTIMORE, MD 21202-4119
(443) 320-2696
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
03/17/2026
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