Organization · Type 2 NPI

Light House Group Home LLC

Substance Abuse Rehabilitation Facility · Mesa, AZ

NPI number 1316505753 Active

Practice location

108 E 2nd Ave
Mesa, AZ 85210-1410

Call (480) 332-0385 Map

Mailing address

9713 E El Paso St
Mesa, AZ 85207-5351

Specialties and licenses

Taxonomy	Code	License
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.

3 other providers at this address

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About NPI 1316505753

Light House Group Home LLC's National Provider Identifier is 1316505753, issued on May 31, 2019. 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 May 31, 2019.