Organization
THE LIGHTHOUSE MENTORING CENTER
Active
Parent organization
THE LIGHTHOUSE MENTORING CENTER 1
Other names
The Lighthouse Mentoring Center 1
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LIGHTHOUSE MENTORING CENTER 1
Authorized official
QUIMANI GREEN LCSW (HEAD OF SERVICE)
(925) 778-4749
Entity
Organization
Contact information
Practice address
1925 GARDEN CT, ANTIOCH, CA 94509-2865
(925) 778-4749
(925) 267-2578
Mailing address
PO BOX 853, PITTSBURG, CA 94565-0085
(925) 628-1641
(925) 267-2578
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
12/10/2024
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