NPI | 1386871853 |
---|---|
Doing Business As | LIGHTHOUSE RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | BRET RICHARD HINER President 801-631-7122 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 15350) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2009-06-11 |