Lighthouse Community Investment Agency INC
NPI #1437635141 in Williamson, West Virginia
Provider Information
- NPI Number
- 1437635141
- Entity Type
- Organization
- Organization Name
- Lighthouse Community Investment Agency INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jul 16, 2018
- Last Updated
- Jul 16, 2018
Practice Location
- Address
- 102 PRICHARD STREET
- City
- Williamson
- State
- West Virginia
- ZIP Code
- 25661
- Phone
- (304) 475-4663
Authorized Official
- Name
- MR. JUSTIN SCOTT ROSS
- Title
- HR
- Phone
- (304) 475-4663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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