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General NPI Number Information
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NPI Number | 1336078534
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE TREATMENT, INC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 320 N WILSHIRE AVE
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City | ANAHEIM
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State | CA
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Zip | 92801-5825
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Country | US
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Telephone | 855-934-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 30211 AVENIDA DE LAS BANDERA STE 200
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2159
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Country | US
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Telephone | 855-934-1100
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TYLER COLLINS
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Credential |
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Telephone | 562-552-2862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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