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

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.