Organization
LAMPS OF LIGHT PROJECT CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TABARI ZAHIR ACSW (FOUNDING DIRECTOR)
(714) 988-5470
Entity
Organization
Contact information
Practice address
7028 INDIANA AVE, RIVERSIDE, CA 92506-4157
(714) 988-5470
Mailing address
11835 CONSTANTINE CIR, MORENO VALLEY, CA 92557-5913
(714) 988-5470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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