| Recovery Lighthouse | |
|
107 E Culton St Warrensburg MO 64093-1823 | |
| (660) 429-2222 | |
| (660) 747-6903 |
| Full Name | Recovery Lighthouse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 E Culton St, Warrensburg, Missouri |
| Authorized Official Name and Position | Adriatik Likcani (DIRECTOR) |
| Authorized Official Contact | 6604417447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Lighthouse 107 E Culton St Warrensburg MO 64093-1823 Ph: (660) 429-2222 | Recovery Lighthouse 107 E Culton St Warrensburg MO 64093-1823 Ph: (660) 429-2222 |
| NPI Number | 1841430147 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841430147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2009000404 (Missouri) | Primary |
| 251S00000X | Community/behavioral Health | CASAC 2970 (Missouri) | Secondary |
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