Organization
LIGHTHOUSE COMMUNITY INVESTMENT AGENCY INC
Active
Organization
LIGHTHOUSE COMMUNITY INVESTMENT AGENCY INC
Active
Other names
Lighthouse Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN SCOTT ROSS (HR)
(304) 475-4663
Entity
Organization
Contact information
Practice address
102 PRICHARD STREET, WILLIAMSON, WV 25661
(304) 475-4663
(304) 475-1450
Mailing address
102 PRICHARD STREET, WILLIAMSON, WV 25661
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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