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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Treatment, Children |
3245S0500X |
| NPI Number | 1982972964 |
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| LBN Legal business name | LIGHTHOUSE RANCH | ||||
| Authorized official | KEVIN BAILEY - (PROGRAM DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/06/2011 | ||||
| Last updated | 12/06/2011 - About 15 years ago | ||||
| Identifiers |
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LIGHTHOUSE RANCH
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LIGHTHOUSE RANCH