| NPI | 1639668114 |
|---|---|
| Doing Business As | CENTURY LIGHTHOUSE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | LISA CARMELLA AMOS Executive Director 310-904-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |