| NPI | 1437635141 |
|---|---|
| Doing Business As | LIGHTHOUSE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JUSTIN SCOTT ROSS Hr 304-475-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |