Organization
THE LIGHTHOUSE MENTORING CENTER
Active
Parent organization
THE LIGHTHOUSE MENTORING CENTER
Other names
Lighthouse Mentoring Center 4
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LIGHTHOUSE MENTORING CENTER
Authorized official
PHYLLIS A RITTER LMFT (CLINICAL DIRECTOR)
(922) 628-1641
Entity
Organization
Contact information
Practice address
4343 BUCKSKIN DR, ANTIOCH, CA 94531-7470
(925) 706-7270
(925) 706-7268
Mailing address
PO BOX 853, PITTSBURG, CA 94565-0085
(925) 628-1641
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
06/03/2022
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