OrganizationActive
Light House Family Services
NPI 1295060788 · Children's Substance Abuse Rehabilitation Facility · Phoenix, AZ
Provider details
- NPI number
- 1295060788
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Claudette Walker-Simon, Owner
- License
- BH3417 (AZ)
Practice location
3910 W Darrow St
Phoenix, AZ 85041-6010
Phone: (602) 237-4066
Fax: (602) 237-4066
Mailing address
3910 W Darrow St
Phoenix, AZ 85041-6010
Registry dates
- Enumerated
- 2009-10-16
- Last updated
- 2009-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.