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 | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Adult Day Care |
261QA0600X | |||
Adult Mental Health |
261QM0850X | |||
Case Management |
251B00000X | |||
Clinic/Center |
261Q00000X | |||
Community Health |
261QC1500X | |||
Community/Behavioral Health |
251S00000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Military/U.S. Coast Guard Outpatient |
261QM1100X | |||
Nursing Care |
251J00000X | |||
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI Number | 1750141230 |
| LBN Legal business name | SHINING LIGHT BEHAVIORAL HEALTH - WHITTAKER |
| Authorized official | WESLEY MASON - (CEO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 03/20/2024 |
| Last updated | 03/20/2024 - About 2 years ago |
| Identifiers | n/a |
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