LIGHTHOUSE CREW NPI 1730581117

NPI Information

LIGHTHOUSE CREW is a substance abuse rehabilitation facility in Fort Lauderdale, FL. 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 CREW NPI is 1730581117. The provider is registered as an organization entity type.

The provider's business location address is:

417 SW 12TH ST
FORT LAUDERDALE, FL
ZIP 33315-406
Phone: (954) 522-5003

The provider's authorized official is Jim Eschbach .
The authorized official title is President and has the following contact phone number (954) 522-5003.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 9/17/2014.

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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