# THE NORTHERN LIGHTHOUSE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013244797
- **Authorized official:** TIFFANY FAULKNER (ADMINISTRATOR)
- **Authorized official phone:** (207) 425-3880

## Contact information

- **Practice address:** 14 MAIN ST, MARS HILL, ME 04758
- **Practice address phone:** (207) 425-8880
- **Mailing address:** PO BOX 498, MARS HILL, ME 04758-0498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 11/17/2009