Organization
LIGHTHOUSE FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE O'KULA (EXECUTIVE DIRECTOR)
(401) 782-8940
Entity
Organization
Contact information
Practice address
81 SPENCER CT, WAKEFIELD, RI 02879-2820
(401) 782-8940
(401) 782-1145
Mailing address
81 SPENCER CT, WAKEFIELD, RI 02879-2820
(401) 782-8940
(401) 782-1145
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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