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Lighthouse Crew
Substance Abuse Rehabilitation Facility in Fort Lauderdale, Florida
NPI 1730581117

Lighthouse Crew is a Substance Abuse Rehabilitation Facility based in Fort Lauderdale, FL. Lighthouse Crew practices in Fort Lauderdale, FL. The NPI Number for Lighthouse Crew is 1730581117 and holds a License No. (Florida).

The current practice location address for Lighthouse Crew is 417 Sw 12Th St, Fort Lauderdale, FL and can be reached out via phone at 954-522-5003.

Location: 417 Sw 12Th St, Fort Lauderdale, FL, 33316-2960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730581117
Provider Name
Lighthouse Crew
Credential
Provider Entity Type
Organization
Address
417 Sw 12Th St, Fort Lauderdale, FL, 33316-2960
Phone Number
954-522-5003
Fax Number
Provider Enumeration Date
09/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
417 Sw 12Th St
City
Fort Lauderdale
State
Florida
Zip
33315-1406
Phone Number
954-522-5003
Fax Number
person
Provider Business Mailing Address Details
Address
417 Sw 12Th St
City
Fort Lauderdale
State
Florida
Zip
33315-1406
Phone Number
954-522-5003
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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.
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