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Organization

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS

Active
Parent organization
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Other names
Ada URC, Ada URC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Authorized official
DEANA THARP (DEPUTY EXECUTIVE DIRECTOR)
(580) 319-7305
Entity
Organization

Contact information

Practice address
301 W 4TH ST, ADA, OK 74820-3411
(580) 257-2444
(580) 257-2445
Mailing address
301 W 4TH ST, ADA, OK 74820-3411
(580) 257-2444
(580) 257-2445

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/19/2021
Last updated
10/19/2021
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