| Lighthouse Addiction Recovery Centre | |
|
383 Martin St Blaine WA 98230-4108 | |
| (360) 332-8549 | |
| (360) 332-8089 |
| Full Name | Lighthouse Addiction Recovery Centre |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 383 Martin St, Blaine, Washington |
| Authorized Official Name and Position | Joyce E Bigelow (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 3603328509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Addiction Recovery Centre 383 Martin St Blaine WA 98230-4108 Ph: (360) 332-8549 | Lighthouse Addiction Recovery Centre 383 Martin St Blaine WA 98230-4108 Ph: (360) 332-8549 |
| NPI Number | 1609015437 |
|---|---|
| Provider Enumeration Date | 02/18/2009 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609015437 | NPI | - | NPPES |
| 37131800 | Other | WA | DEPARTMENT OF ALCHOHOL AND SUBSTANCE ABUSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37131800 (Washington) | Primary |
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