Organization · Type 2 NPI

Lighthouse Ranch

Children's Substance Abuse Rehabilitation Facility · Moroni, UT

NPI number 1982972964 Active

Practice location

21360 N 1450 E
Moroni, UT 84646-0461

Fax (435) 445-5201

Mailing address

PO Box 461, 21360 North 1450 East
Moroni, UT 84646

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

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.

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About NPI 1982972964

Lighthouse Ranch's National Provider Identifier is 1982972964, issued on Dec 6, 2011. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Moroni, UT. The record was last updated on Dec 6, 2011.