Lighthouse Ranch Corporation
NPI #1992079099 in Ephraim, Utah
Provider Information
- NPI Number
- 1992079099
- Entity Type
- Organization
- Organization Name
- Lighthouse Ranch Corporation
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 7, 2012
- Last Updated
- Jul 21, 2022
Practice Location
Authorized Official
- Name
- KEVIN BAILEY
- Title
- PROGRAM DIRECTOR
- Phone
- (435) 262-0891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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