Organization
THE LIGHT OF TRUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELA CAMPBELL LCPC-S LCADC-S (CLINICAL SUPERVISOR)
(443) 904-8216
Entity
Organization
Contact information
Practice address
1736 N PAYSON ST, BALTIMORE, MD 21217-1134
(443) 328-4003
Mailing address
3308 KYLE CT, BALTIMORE, MD 21244-3620
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2386020-00
—
MD
Enumeration date
01/29/2020
Last updated
06/14/2023
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