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Organization

COACHELLA VALLEY LIGHTHOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA PIERCE (REGISTERED BEHAVIOR TECHNICIAN)
(541) 505-2810
Entity
Organization

Contact information

Practice address
78900 AVENUE 47 STE 105, LA QUINTA, CA 92253-2070
(760) 625-0955
Mailing address
157 GARFIELD ST APT 4, ASHLAND, OR 97520-2251

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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