institution
Light Center Behavioral Health Llc
Substance Use Disorder Rehabilitation Clinic/Center in Phoenix, Arizona
NPI 1700598489

Light Center Behavioral Health Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Phoenix, AZ and is specialized in Rehabilitation, Substance Use Disorder. Light Center Behavioral Health Llc practices in Phoenix, AZ. The NPI Number for Light Center Behavioral Health Llc is 1700598489 and holds a License No. (Arizona).

The current practice location address for Light Center Behavioral Health Llc is 6619 N 19Th Ave # C1, Phoenix, AZ and can be reached out via phone at 520-445-5832.

Location: 6619 N 19Th Ave # C1, Phoenix, AZ, 85015-1631
institution
Provider Profile Details
NPI Number
1700598489
Provider Name
Light Center Behavioral Health Llc
Credential
Provider Entity Type
Organization
Address
6619 N 19Th Ave # C1, Phoenix, AZ, 85015-1631
Phone Number
520-445-5832
Fax Number
Provider Enumeration Date
12/14/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH8241 05 AZ
institution
Provider Business Practice Location Address Details
Address
6619 N 19Th Ave # C1
City
State
Zip
85015-1631
Phone Number
520-445-5832
Fax Number
person
Provider Business Mailing Address Details
Address
6619 N 19Th Ave # C1
City
State
Zip
85015-1631
Phone Number
520-445-5832
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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