Organization
THE LIGHTHOUSE OF TALLAPOOSA CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LEON BRYANT JR. (PROGRAM COORDINATOR)
(256) 234-4894
Entity
Organization
Contact information
Practice address
36 FRANKLIN ST, ALEXANDER CITY, AL 35010-1913
(256) 234-4894
(256) 234-4854
Mailing address
36 FRANKLIN ST, ALEXANDER CITY, AL 35010-1913
(256) 234-4894
(256) 234-4854
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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