LIGHTHOUSE TREATMENT CENTER NPI 1407218084

NPI Information

LIGHTHOUSE TREATMENT CENTER is a substance abuse rehabilitation facility in Greenville, SC. 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. LIGHTHOUSE TREATMENT CENTER NPI is 1407218084. The provider is registered as an organization entity type.

The provider's business location address is:

3919 S HIGHWAY 14
BLDG A
GREENVILLE, SC
ZIP 29615-138
Phone: (864) 288-2006
Fax: (864) 288-1678

The provider's authorized official is Thaer Joudeh .
The authorized official title is Md and has the following contact phone number (864) 288-2006.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 3/23/2016.

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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