Organization · Type 2 NPI
Lighthouse Support Services LLC
Substance Abuse Rehabilitation Facility · Mesa, AZ
NPI number
1134875727
Active
Practice location
7303 E Main St Ste 106
Mesa, AZ 85207-8325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
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About NPI 1134875727
Lighthouse Support Services LLC's National Provider Identifier is 1134875727, issued on Feb 23, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mesa, AZ. The record was last updated on Aug 10, 2022.