institution
Light House Group
Emotionally Disturbed Childrens' Residential Treatment Facility in Spring Lake, North Carolina
NPI 1225166069

Light House Group is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Spring Lake, NC. Light House Group practices in Spring Lake, NC. The NPI Number for Light House Group is 1225166069 and holds a License No. MHL -026-805 (North Carolina).

The current practice location address for Light House Group is 206 Wapiti Dr, Spring Lake, NC and can be reached out via phone at 910-497-0299 and via fax at 910-497-0297.

Location: 206 Wapiti Dr, Spring Lake, NC, 28390-3607
institution
Provider Profile Details
NPI Number
1225166069
Provider Name
Light House Group
Credential
Provider Entity Type
Organization
Address
206 Wapiti Dr, Spring Lake, NC, 28390-3607
Phone Number
910-497-0299
Fax Number
910-497-0297
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603194 05 NC
6603652 05 NC
6603907 05 NC
institution
Provider Business Practice Location Address Details
Address
206 Wapiti Dr
City
State
Zip
28390-1530
Phone Number
910-497-0299
Fax Number
910-497-0297
person
Provider Business Mailing Address Details
Address
206 Wapiti Dr
City
State
Zip
28390-1530
Phone Number
910-497-0299
Fax Number
910-497-0297
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
MHL -026-805 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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