NPI 1144920828
Light House Recovery Services
Practice location
- Address
- 921 2nd Ave S, Fargo, ND 58103-1705
- Phone
- (701) 361-9922
Authorised official
- Name
- Tara Gilbert
- Title
- Peer Support Administrator
- Phone
- (218) 790-8445
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1144920828
- Entity type
- Organization
- NPI issued
- 9 Mar 2023
- Record last updated
- 9 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.