Organization
WILLOW GLEN CARE CENTER
Active
Other names
The Lighthouse
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF T PAYNE (EXECUTIVE DIRECTOR)
(530) 751-9904
Entity
Organization
Contact information
Practice address
6253 BERRY LN, EUREKA, CA 95503-6605
(707) 502-3623
Mailing address
1547 PLUMAS CT, YUBA CITY, CA 95991-2960
(530) 751-9900
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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