| NPI | 1245895192 |
|---|---|
| Doing Business As | ANAHEIM LIGHTHOUSE |
| Entity Type | Organization |
| Authorized Contact | PETER DAVIDSON CEO 714-384-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-11-19 |