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LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1723 GWYNNS FALLS PARKWAY LLC
NPI 1902440886
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since November 04, 2019
1723 GWYNNS FALLS PKWY, BALTIMORE, MD 21217(443) 320-2646(443) 320-2646 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2026, Mar 10, 2026, Sep 11, 2025 and 2 more (5 updates tracked since 2019).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Locations
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Substance Abuse Rehabilitation Facility

About LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1723 GWYNNS FALLS PARKWAY LLC

This page provides the complete NPI Profile along with additional information for Lighthouse Behavioral Health Center At 1723 Gwynns Falls Parkway Llc, a provider established in Baltimore, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1902440886 assigned on November 2019. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Vernon Holmes Jr. (Ceo)

NPI
1902440886 Verify this NPI
Provider Name
LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1723 GWYNNS FALLS PARKWAY LLC
Entity Type
Organization
Location Address
1723 GWYNNS FALLS PKWY BALTIMORE, MD 21217
Location Phone
(443) 320-2646
Location Fax
(443) 320-2646
Mailing Address
1119 E MONUMENT ST BALTIMORE, MD 21202
Mailing Phone
(443) 320-2646
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-04-2019
Last Update Date
03-17-2026
Code Navigator

Location Map

Secondary Locations

  • 1119 E Monument St
    Baltimore, MD 21202
    (443) 708-5056

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VERNON HOLMES JR.

Authorized Official Title
CEO
Authorized Official Phone
(443) 320-2646

Reviews for LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1723 GWYNNS FALLS PARKWAY LLC

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Frequently Asked Questions

What is LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1723 GWYNNS FALLS PARKWAY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1902440886, enumerated as an "organization" on November 04, 2019.

Where is the provider located?

The provider is located at 1723 GWYNNS FALLS PKWY BALTIMORE, MD 21217 and the phone number is (443) 320-2646.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.