Lighthouse Family Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Las Cruces, NM. Organization (NPI-2).
NPI number1407359136
StatusActive
Last updated in NPPESMar 8, 2018
Details
- NPI
- 1407359136
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthouse Family Services LLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2018
- Last updated
- Mar 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | C-10254 | NM | Yes |
Practice location
1485 N Main St Ste CLas Cruces, NM 88001-1182
Phone 575-312-8257
Mailing address
3404 Del Rio CtLas Cruces, NM 88007-4938
Phone 575-312-8257
Authorized official
Isabel Gonzales
Owner
5753128257
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