NPI Code Detail JSON Logo

1326994492 NPI number — LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 2140 DRUID HILL AVENUE LLC

NPI Number: 1326994492
Health Care Provider/Practitioner: LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 2140 DRUID HILL AVENUE LLC

Information about “1326994492” NPI (LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 2140 DRUID HILL AVENUE LLC) exists in 1326994492 in HTML format HTML  |  1326994492 in plain Text format TXT  |  1326994492 in PDF (Portable Document Format) PDF  |  1326994492 in an XML format XML  formats.

NPI Number : 1326994492 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326994492",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 2140 DRUID HILL AVENUE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1119 E MONUMENT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21202-4119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2140 DRUID HILL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21217-3236",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-320-2676",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/10/2026",
    "LastUpdateDate": "03/10/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOLMES",
    "AuthorizedOfficialFirstName": "VERNON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "667-400-0602",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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