# LIGHTHOUSE ICF/DDN

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

## Provider details

- **NPI number:** 1265862973
- **Authorized official:** RENEE BROWN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (714) 335-9305

## Contact information

- **Practice address:** 17001 SAGA DR, YORBA LINDA, CA 92886-3627
- **Practice address phone:** (714) 223-1220
- **Mailing address:** 5025 MARSHBURN CIR, YORBA LINDA, CA 92886-3926
- **Mailing address phone:** (714) 335-9305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 11/15/2013
- **Last updated:** 11/15/2013