Organization · Type 2 NPI
Lighthouse Community Investment Agency Inc
Substance Use Disorder Rehabilitation Clinic/Center · Williamson, WV
NPI number
1437635141
Active
Practice location
102 Prichard Street
Williamson, WV 25661
Fax (304) 475-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1437635141
Lighthouse Community Investment Agency Inc's National Provider Identifier is 1437635141, issued on Jul 16, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Williamson, WV. The record was last updated on Jul 16, 2018.