Organization Name: | GUIDING LIGHT BEHAVIORAL HEALTH, INC. |
NPI Number: | 1053640201 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD C LUNDY (VP) |
Mailing Address: | 1930 Heck Ave Bldg. 3 Suite 1 Neptune |
State: | NJ US |
Postal Code: | 077534476 |
Phone Number: | 7327740911 |
Fax Number: | 7327744061 |
NPI Enumeration Date: | 12/17/2009 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 2000357-09 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |