Organization
ILLUMINATED DIRECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LACEWELL (CEO)
(919) 452-7931
Entity
Organization
Contact information
Practice address
312 N CHARLES ST STE 300&400, BALTIMORE, MD 21201-4360
(919) 452-7931
Mailing address
312 N CHARLES ST STE 300, BALTIMORE, MD 21201-4322
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
04/17/2023
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