LIGHT HOUSE FAMILY SERVICES NPI 1295060788

NPI Information

LIGHT HOUSE FAMILY SERVICES is a substance abuse treatment and children substance abuse rehabilitation facility in Phoenix, AZ. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. LIGHT HOUSE FAMILY SERVICES NPI is 1295060788. The provider is registered as an organization entity type.

The provider's business location address is:

3910 W DARROW ST
PHOENIX, AZ
ZIP 85041-010
Phone: (602) 237-4066
Fax: (602) 237-4066

The provider's authorized official is Claudette Walker-simon .
The authorized official title is Owner and has the following contact phone number (602) 237-4066.

The enumeration date for this NPI number is 10/16/2009 and was last updated on 10/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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