The Lighthouse Mentoring Center
NPI #1932774692 in Antioch, California
Provider Information
- NPI Number
- 1932774692
- Entity Type
- Organization
- Organization Name
- The Lighthouse Mentoring Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE LIGHTHOUSE MENTORING CENTER
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- May 25, 2021
- Last Updated
- Jun 3, 2022
Practice Location
- Address
- 4438 BUCKEYE WAY
- City
- Antioch
- State
- California
- ZIP Code
- 94531-9334
- Phone
- (925) 755-8499
Authorized Official
- Name
- JAMES LANCASTER, LMFT
- Title
- HEAD OF SERVICE
- Phone
- (925) 755-8499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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