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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1245998327 |
| LBN Legal business name | LIGHTHOUSE RECOVERY SERVICES LLC |
| Authorized official | EDWARD RUVINS - (PROGRAM DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/06/2021 |
| Last updated | 12/06/2022 - About 4 years ago |
| Identifiers | n/a |
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