Light House Group Home LLC

NPI #1154940864 in Mesa, Arizona

Provider Information

NPI Number
1154940864
Entity Type
Organization
Organization Name
Light House Group Home LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Apr 13, 2020
Last Updated
Apr 13, 2020

Practice Location

Address
108 E 2ND AVE STE 101
City
Mesa
State
Arizona
ZIP Code
85210-1410
Phone
(480) 200-1437

Authorized Official

Name
JEFF PRESUTTI
Title
OWNER/CEO
Phone
(480) 332-0385

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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