The Lighthouse Mentoring Center
NPI #1891361119 in Antioch, California
Provider Information
- NPI Number
- 1891361119
- Entity Type
- Organization
- Organization Name
- The Lighthouse Mentoring Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE LIGHTHOUSE MENTORING CENTER 1
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 27, 2021
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 1925 GARDEN CT
- City
- Antioch
- State
- California
- ZIP Code
- 94509-2865
- Phone
- (925) 778-4749
Authorized Official
- Name
- QUIMANI GREEN, LCSW
- Title
- HEAD OF SERVICE
- Phone
- (925) 778-4749
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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