Organization
LIGHTHOUSE ICF/DDN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BROWN (OWNER/ADMINISTRATOR)
(714) 335-9305
Entity
Organization
Contact information
Practice address
17001 SAGA DR, YORBA LINDA, CA 92886-3627
(714) 223-1220
Mailing address
5025 MARSHBURN CIR, YORBA LINDA, CA 92886-3926
(714) 335-9305
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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