Organization
LIGHTHOUSE ADDICTION RECOVERY CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE E BIGELOW CDP RC (CLINICAL SUPERVISOR)
(360) 332-8509
Entity
Organization
Contact information
Practice address
383 MARTIN ST, BLAINE, WA 98230-4108
(360) 332-8549
(360) 332-8089
Mailing address
383 MARTIN ST, BLAINE, WA 98230-4108
(360) 332-8549
(360) 332-8089
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37131800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37131800
DEPARTMENT OF ALCHOHOL AND SUBSTANCE ABUSE
WA
Enumeration date
02/18/2009
Last updated
02/18/2009
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