institution
Light House Group Home Llc
Substance Use Disorder Rehabilitation Clinic/Center in Mesa, Arizona
NPI 1154940864

Light House Group Home Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Mesa, AZ and is specialized in Rehabilitation, Substance Use Disorder. Light House Group Home Llc practices in Mesa, AZ. The NPI Number for Light House Group Home Llc is 1154940864 and holds a License No. (Arizona).

The current practice location address for Light House Group Home Llc is 108 E 2Nd Ave Ste 101, Mesa, AZ and can be reached out via phone at 480-200-1437. You can also correspond with Light House Group Home Llc through the mailing address at 108 E 2ND AVE, MESA, AZ - 85210-1410 (mailing address contact number: ).

Location: 108 E 2Nd Ave Ste 101, Mesa, AZ, 85210-1410
institution
Provider Profile Details
NPI Number
1154940864
Provider Name
Light House Group Home Llc
Credential
Provider Entity Type
Organization
Address
108 E 2Nd Ave Ste 101, Mesa, AZ, 85210-1410
Phone Number
480-200-1437
Fax Number
Provider Enumeration Date
04/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 E 2Nd Ave Ste 101
City
State
Zip
85210-1410
Phone Number
480-200-1437
Fax Number
person
Provider Business Mailing Address Details
Address
108 E 2Nd Ave
City
State
Zip
85210-1410
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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