| NPI | 1891361119 |
|---|---|
| Other Name | THE LIGHTHOUSE MENTORING CENTER 1 |
| Entity Type | Organization |
| Authorized Contact | JASON BRADEN Head Of Service 925-778-4749 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-05-26 |