| NPI | 1912352576 |
|---|---|
| Doing Business As | SAN DIEGO LIGHTHOUSE |
| Entity Type | Organization |
| Authorized Contact | PETER DAVIDSON CEO 714-384-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-11-19 |