# LIGHTHOUSE RTC

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

## Provider details

- **NPI number:** 1780853051
- **Authorized official:** MR. TERRELL HUNINGER JR. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (928) 257-2293

## Contact information

- **Practice address:** 13708 E 50TH ST, YUMA, AZ 85367-8503
- **Practice address phone:** (928) 246-4664
- **Mailing address:** 964 W 34TH PL, YUMA, AZ 85365-4357
- **Mailing address phone:** (928) 257-2293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 3048 | AZ | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 05/16/2008