Organization
THE LIGHTHOUSE OF TALLAPOOSA CO. INC.
Active
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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