Organization
LIGHTHOUSE RECOVERY COMMUNITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LATVA MS, LPC, CSAC, ICS (EXECUTIVE DIRECTOR)
(920) 579-0009
Entity
Organization
Contact information
Practice address
818 STATE ST, MANITOWOC, WI 54220-4036
(920) 374-4433
Mailing address
818 STATE ST, MANITOWOC, WI 54220-4036
(920) 374-4433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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