The Northern Lighthouse INC

NPI #1013244797 in Mars Hill, Maine

Provider Information

NPI Number: 1013244797
Entity Type: Organization
Organization Name: The Northern Lighthouse INC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 17, 2009
Last Updated: Nov 17, 2009

Practice Location

Address: 14 MAIN ST
City: Mars Hill
State: Maine
ZIP Code: 04758
Phone: (207) 425-8880

Authorized Official

Name: TIFFANY FAULKNER
Title: ADMINISTRATOR
Phone: (207) 425-3880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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