Lighthouse International | |
850 Columbus Ave Apt 2c New York NY 10025-4560 | |
(646) 241-2063 | |
Not Available |
Full Name | Lighthouse International |
---|---|
Speciality | Substance Abuse Rehabilitation Facility |
Location | 850 Columbus Ave, New York, New York |
Authorized Official Name and Position | Angela Rita (CLINICAL DIRECTOR) |
Authorized Official Contact | 2122933000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse International 850 Columbus Avenue Apt 2c Nyc NY 10025 Ph: (646) 241-2063 | Lighthouse International 850 Columbus Ave Apt 2c New York NY 10025-4560 Ph: (646) 241-2063 |
NPI Number | 1104968692 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 11/13/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104968692 | NPI | - | NPPES |
070978-1 | Other | NY | LICENSED CLINICAL SOCIAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 070978-1 (New York) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | 070978-1 (New York) | Primary |
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