NPI 1407218084

Lighthouse Treatment Center

Organisation Substance Abuse Rehabilitation Facility Greenville, SC

Practice location

Address: 3919 S Highway 14 Bldg a, Greenville, SC 29615-6138
Phone: (864) 288-2006
Fax: (864) 288-1678

Authorised official

Name: Thaer Joudeh
Title: MD
Phone: (864) 288-2006

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in South Carolina →

Registry record

NPI: 1407218084
Entity type: Organization
NPI issued: 23 Mar 2016
Record last updated: 23 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.