institution
Lighthouse Ranch
Children's Substance Abuse Rehabilitation Facility in Moroni, Utah
NPI 1982972964

Lighthouse Ranch is a Children's Substance Abuse Rehabilitation Facility based in Moroni, UT and is specialized in Substance Abuse Treatment, Children. Lighthouse Ranch practices in Moroni, UT. The NPI Number for Lighthouse Ranch is 1982972964 and holds a License No. (Utah).

The current practice location address for Lighthouse Ranch is 21360 N 1450 E, Moroni, UT and can be reached out via phone at 435-445-5200 and via fax at 435-445-5201.

Location: 21360 N 1450 E, Moroni, UT, 84646
institution
Provider Profile Details
NPI Number
1982972964
Provider Name
Lighthouse Ranch
Credential
Provider Entity Type
Organization
Address
21360 N 1450 E, Moroni, UT, 84646
Phone Number
435-445-5200
Fax Number
435-445-5201
Provider Enumeration Date
12/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235458555 05 UT
institution
Provider Business Practice Location Address Details
Address
21360 N 1450 E
City
State
Zip
84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
person
Provider Business Mailing Address Details
Address
21360 N 1450 E
City
State
Zip
84646-0461
Phone Number
435-445-5200
Fax Number
435-445-5201
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
(Utah)
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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