OrganizationActive
Lighthouse Ranch
NPI 1982972964 · Children's Substance Abuse Rehabilitation Facility · Moroni, UT
Provider details
- NPI number
- 1982972964
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kevin Bailey, Program Director(435) 262-0891
Specialties & taxonomies
Residential Treatment Facilities
Practice location
21360 N 1450 E
Moroni, UT 84646-0461
Phone: (435) 445-5200
Fax: (435) 445-5201
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 461
Moroni, UT 84646
Registry dates
- Enumerated
- 2011-12-06
- Last updated
- 2011-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.