Light House Family Services

NPI #1295060788 in Phoenix, Arizona

Provider Information

NPI Number: 1295060788
Entity Type: Organization
Organization Name: Light House Family Services
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Oct 16, 2009
Last Updated: Oct 16, 2009

Practice Location

Address: 3910 W DARROW ST
City: Phoenix
State: Arizona
ZIP Code: 85041-6010
Phone: (602) 237-4066

Authorized Official

Name: MS. CLAUDETTE WALKER-SIMON
Title: OWNER
Phone: (602) 237-4066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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