Organization
LIGHTHOUSE CMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A MENDOZA (CEO)
(305) 541-2600
Entity
Organization
Contact information
Practice address
1704 NW 7TH ST, MIAMI, FL 33125-3502
(305) 541-2600
(305) 541-2222
Mailing address
1704 NW 7TH ST, MIAMI, FL 33125-3502
(305) 541-2600
(305) 541-2222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/24/2007
Last updated
04/15/2008
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