Organization
LIGHTHOUSE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA EVANS (ADMINISTRATOR)
(602) 526-0302
Entity
Organization
Contact information
Practice address
7303 E MAIN ST STE 106, MESA, AZ 85207-8325
(480) 332-0385
Mailing address
7303 E MAIN ST STE 106, MESA, AZ 85207-8325
(480) 332-0385
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
08/10/2022
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