Lighthouse Addiction Recovery Centre
Community/Behavioral Health in Blaine, WA. Organization (NPI-2).
NPI number1609015437
StatusActive
Last updated in NPPESFeb 18, 2009
Details
- NPI
- 1609015437
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthouse Addiction Recovery Centre
- Organization subpart
- No
- Enumeration date
- Feb 18, 2009
- Last updated
- Feb 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 37131800 | WA | Yes |
Practice location
383 Martin StBlaine, WA 98230-4108
Phone 360-332-8549 · Fax 360-332-8089
Mailing address
383 Martin StBlaine, WA 98230-4108
Phone 360-332-8549 · Fax 360-332-8089
Authorized official
Joyce E Bigelow
Clinical Supervisor
3603328509
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