| NPI | 1467947218 |
|---|---|
| Doing Business As | LIGHTHOUSE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | EDWARD RUVINS Program Director 720-934-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2022-12-06 |