| NPI | 1568875839 |
|---|---|
| Doing Business As | LIGHTHOUSE TREAMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | LAURA MACDONALD Controller 949-307-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |