Organization · Type 2 NPI
Light House Family Services
Children's Substance Abuse Rehabilitation Facility · Phoenix, AZ
Practice location
3910 W Darrow St
Phoenix, AZ 85041-6010
Fax (602) 237-4066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | BH3417 (AZ) |
Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Another provider at this address
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About NPI 1295060788
Light House Family Services's National Provider Identifier is 1295060788, issued on Oct 16, 2009. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 16, 2009.