Organization
LIGHTHOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY HELTON (VICE PRESIDENT FINANCE)
(314) 739-6811
Entity
Organization
Contact information
Practice address
3212 CENTRAL ST, KANSAS CITY, MO 64111-1323
(816) 361-2233
Mailing address
11300 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2721
(314) 739-6811
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
09/22/2022
Last updated
09/23/2022
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