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Organization

RECOVERY LIGHTHOUSE

Active
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Organization

RECOVERY LIGHTHOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADRIATIK LIKCANI LMFT, CRAADC (DIRECTOR)
(660) 441-7447
Entity
Organization

Contact information

Practice address
107 E CULTON ST, WARRENSBURG, MO 64093-1823
(660) 429-2222
(660) 747-6903
Mailing address
107 E CULTON ST, WARRENSBURG, MO 64093-1823
(660) 429-2222
(660) 747-6903

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2009000404
MO
251S00000X
Community/Behavioral Health Agency
CASAC 2970
MO

Other

Enumeration date
02/26/2009
Last updated
11/14/2014
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