Organization
LIGHTHOUSE RECOVERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BARSALOU (MANAGER)
(818) 489-4592
Entity
Organization
Contact information
Practice address
18663 VENTURA BLVD STE 210, TARZANA, CA 91356-4195
(818) 794-7321
Mailing address
18663 VENTURA BLVD STE 210, TARZANA, CA 91356-4195
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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