Organization
THE LAMPLIGHTER CENTER FOR RENEWAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA M SMITH (EXECUTIVE DIRECTOR)
(508) 583-9800
Entity
Organization
Contact information
Practice address
820 PEARL ST, BROCKTON, MA 02301-4411
(508) 583-9800
(508) 583-9802
Mailing address
820 PEARL ST, BROCKTON, MA 02301-4411
(508) 583-9800
(508) 583-9802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
B56529
MA
Other
Enumeration date
06/25/2012
Last updated
05/03/2013
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