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Organization
THE LIGHT PROGRAM, INC.
Active
Organization
THE LIGHT PROGRAM, INC.
Active
Other names
The Light Program
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SATTLER (EMR HELPDESK SUPERVISOR)
(814) 552-0229
Entity
Organization
Contact information
Practice address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(814) 552-0229
(610) 644-4066
Mailing address
700 AMERICAN AVE STE 201, KING OF PRUSSIA, PA 19406-4031
(814) 552-0229
(610) 981-6078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
125090
PA
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001788000
BCBS PROVIDER NUMBER
PA
01
—
7016608
AETNA PROVIDER NUMBER
PA
Enumeration date
07/23/2006
Last updated
01/14/2025
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