LIGHT HOUSE GROUP HOME LLC is a substance abuse rehabilitation facility in Mesa, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. LIGHT HOUSE GROUP HOME LLC NPI is 1316505753. The provider is registered as an organization entity type.
The provider's business location address is:
108 E 2ND AVE
MESA, AZ
ZIP 85210-410
Phone: (480) 332-0385
The provider's authorized official is Jeff Presutti .
The authorized official title is Ceo and has the following contact phone number (480) 332-0385.
The CLIA number assigned to this NPI record is 03D2277568 - other - behavioral health outpati with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/31/2019 and was last updated on 5/31/2019.