Organization
THE LIGHTHOUSE MENTORING CENTER
Active
Parent organization
THE LIGHTHOUSE MENTORING CENTER
Other names
Lighthouse Mentoring Center 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LIGHTHOUSE MENTORING CENTER
Authorized official
JAMES LANCASTER LMFT (HEAD OF SERVICE)
(925) 755-8499
Entity
Organization
Contact information
Practice address
4438 BUCKEYE WAY, ANTIOCH, CA 94531-9334
(925) 755-8499
(925) 755-8495
Mailing address
PO BOX 853, PITTSBURG, CA 94565-0085
(925) 628-1641
(707) 745-2510
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
06/03/2022
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