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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