Organization · Type 2 NPI

Lighthouse Ranch LLC

Substance Abuse Rehabilitation Facility · Moroni, UT

NPI number 1235458555 Active

Practice location

21360 North 1450 East
Moroni, UT 84646-0461

Call (435) 851-1824 Map

Mailing address

21360 N. 1450 E.
Moroni, UT 84646-0461

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	32253J00000X (UT)

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 1235458555

Lighthouse Ranch LLC's National Provider Identifier is 1235458555, issued on May 26, 2010. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Moroni, UT. The record was last updated on May 26, 2010.