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Organization

LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1723 GWYNNS FALLS PARKWAY LLC

Active
Parent organization
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC
Other names
LightHouse Behavioral Health Center LLC Residential SUD, LightHouse Behavioral Health Center at 1723 Gwynns Falls Parkway
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIGHTHOUSE BEHAVIORAL HEALTH CENTER LLC
Authorized official
VERNON HOLMES JR. (CEO)
(443) 320-2646
Entity
Organization

Contact information

Practice address
1723 GWYNNS FALLS PKWY, BALTIMORE, MD 21217-2098
(443) 320-2646
(443) 320-2646
Mailing address
1119 E MONUMENT ST, BALTIMORE, MD 21202-4119
(443) 320-2646

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
11/04/2019
Last updated
03/17/2026
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