Lighthouse Icf/ddn
NPI #1265862973 in Yorba Linda, California
Provider Information
- NPI Number
- 1265862973
- Entity Type
- Organization
- Organization Name
- Lighthouse Icf/ddn
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 15, 2013
- Last Updated
- Nov 15, 2013
Practice Location
- Address
- 17001 SAGA DR
- City
- Yorba Linda
- State
- California
- ZIP Code
- 92886-3627
- Phone
- (714) 223-1220
Authorized Official
- Name
- RENEE BROWN
- Title
- OWNER/ADMINISTRATOR
- Phone
- (714) 335-9305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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