| Lighthouse Recovery Community Center Inc | |
|
818 State St Manitowoc WI 54220-4036 | |
| (920) 374-4433 | |
| Not Available |
| Full Name | Lighthouse Recovery Community Center Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 818 State St, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Jason Latva (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9205790009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Recovery Community Center Inc 818 State St Manitowoc WI 54220-4036 Ph: (920) 374-4433 | Lighthouse Recovery Community Center Inc 818 State St Manitowoc WI 54220-4036 Ph: (920) 374-4433 |
| NPI Number | 1699625863 |
|---|---|
| Provider Enumeration Date | 01/29/2026 |
| Last Update Date | 01/29/2026 |
| Certification Date | 01/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699625863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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