Organization
LIGHTHOUSE RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY D. BAKER (OPERATIONS OFFICER)
(812) 698-7631
Entity
Organization
Contact information
Practice address
311 E MAIN ST, WASHINGTON, IN 47501-2915
(812) 698-7631
(812) 257-8825
Mailing address
311 E MAIN ST, WASHINGTON, IN 47501-2915
(812) 698-7631
(812) 257-8825
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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