Lighthouse Family Residential LLC

NPI #1790531481 in Maricopa, Arizona

Provider Information

NPI Number
1790531481
Entity Type
Organization
Organization Name
Lighthouse Family Residential LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 24, 2024
Last Updated
Apr 24, 2024

Practice Location

Address
17524 N ROSA DR
State
Arizona
ZIP Code
85138-1840
Phone
(480) 238-2909

Authorized Official

Name
EBENEZER OFORI, MPH
Title
CHIEF ADMINISTRATIVE OFFICER
Phone
(480) 238-2909

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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