A Safe Haven for Recovery in Baltimore — Where Healing Meets Home
Welcome to LIGHTHOUSE BEHAVIORAL HEALTH CENTER AT 1116 E 20TH STREET LLC 1116 E 20th Street, a licensed 8-bed residential program offering care across ASAM Levels 3.1, 3.3, and 3.5. We provide structured, trauma-informed support in a warm, home-like setting where every individual is known, valued, and supported.
Our Story
Every person’s journey is unique, but the need for dignity, compassion, and stability is universal.
Our roots began in supportive housing services, where our leadership saw a powerful truth: chronic homelessness and mental illness often go hand-in-hand. Too many people were slipping through the cracks.
In 2013, we began as a small practice dedicated to bridging this gap. Since then, we’ve grown into a full continuum of care — outpatient services, psychiatric rehabilitation, and now, safe and structured residential programs like our 1116 E 20th Street location. Our mission has never changed: to offer a place where people can stabilize, rediscover their strengths, and prepare for brighter tomorrows.
Learn More About UsOur Vision
To be Baltimore’s most trusted community-based behavioral health provider, recognized for restoring hope, empowering independence, and building connections.
Our Mission
We provide safe, structured, and compassionate behavioral health services that support recovery, promote dignity, and foster community re-entry.
At Lighthouse, care is not just clinical — it’s personal. We don’t just see conditions; we see people, stories, and futures waiting to be rebuilt.
What Makes Us Different
Personalized attention, clinical rigor, and community connection — scaled for impact and warmth.
Home-Like Atmosphere
With only 8 beds, every resident is known, supported, and connected.
Clinical Expertise with Heart
Staff are licensed and chosen for clinical skill plus compassion and dedication.
Family-Inclusive Approach
Families are kept informed and involved in care planning and transitions.
Community Partnerships
Strong referral pathways to housing, employment, and outpatient supports.
Accredited Programs
Joint Commission and CARF accreditation reflect high standards of care.
Transparent Care
All-inclusive, clear pricing with no hidden fees—family trust is paramount.
Programs & Services
Our services are built around stability, dignity, and recovery.

24/7 Licensed Supervision
Always available for support, crisis intervention, or simply a listening ear.

Medication Management
Safe administration and consistent monitoring for peace of mind.

Daily Living Support
Help with routines, hygiene, and skills for independence.

Nutritious Meals & Snacks
Three nutritious, home-style meals each day plus snacks; special diets accommodated.

Clinical Groups & Peer Sessions
Therapy, education, and peer-led support to reinforce recovery skills.

Weekly Case Reviews & Discharge Planning
Collaborative planning to ensure safe transitions to outpatient supports, housing, and employment resources.
We tailor each plan to the individual — contact intake for a personalized consult.
A Day in the Life at Lighthouse
We balance structure with freedom so every day feels purposeful yet supportive.
Morning
8:00 AM – 12:00 PM: Medication support, breakfast, and light group activities.
Afternoon
12:00 PM – 4:00 PM: Clinical sessions, skill-building workshops, and community outings.
Evening
4:00 PM – 8:00 PM: Dinner together, reflection time, peer groups, or movie nights.
Night
8:00 PM – 10:00 PM: Quiet, supportive environment for rest and recovery.
Voices of Our Community
Nothing builds trust like the voices of those we've helped.
Gallery & Virtual Tour
A visual tour of our home — click images to enlarge.



Frequently Asked Questions

![[Founder’s Name] portrait](https://twentystreettherapy.com/assets/vernon.jpg)
A Message from Our Founder
"Lighthouse was created because we saw too many people struggling without the right support. Our goal was simple: build a program that combines the clinical strength of a licensed facility with the heart of a home. When you trust us with your care, you’re not just a resident — you’re family."
— Vernon Holmes, Founder
Your journey matters. Let Lighthouse Behavioral Health Center be a part of it.
Our intake team is available to answer questions and accept referrals.