Organization · Type 2 NPI
Lighthouse Ranch Corporation
Substance Abuse Rehabilitation Facility · Ephraim, UT
NPI number
1992079099
Active
Practice location
390 East 100 South
Ephraim, UT 84627
Mailing address
PO Box 461
Moroni, UT 84646
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.
2 other providers at this address
About NPI 1992079099
Lighthouse Ranch Corporation's National Provider Identifier is 1992079099, issued on Mar 7, 2012. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Ephraim, UT. The record was last updated on Jul 21, 2022.