Organization
THE LIGHTHOUSE ADDICTION RECOVERY CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE A BIGELOW (CLINICAL SUPERVISOR)
(360) 543-9061
Entity
Organization
Contact information
Practice address
374 H ST, BLAINE, WA 98230-4109
(360) 543-5339
(360) 543-5339
Mailing address
374 H STREET, BLAINE, WA 98230-4109
(360) 543-5339
(360) 543-5339
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
37131800
WA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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