The Lighthouse Mentoring Center 1

LBN: The Lighthouse Mentoring Center
The Lighthouse Mentoring Center 1 is an health care organization with primary practice located at 1925 Garden Ct # 192 , Antioch CA 94509-2865. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. The Lighthouse Mentoring Center can be contacted via phone (925) 778-4749, or through Braden, Jason via phone (925) 778-4749.

Contact Information

Primary practice address
1925 Garden Ct # 192 Antioch CA 94509-2865
Phone: (925) 778-4749
Fax: (925) 267-2578
Website:
Map and Directions
Authorized official contact:
Name: Braden, Jason M.A. MDIV
Phone: (925) 778-4749

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1891361119
LBN Legal business name The Lighthouse Mentoring Center
DBA Doing business as The Lighthouse Mentoring Center 1
Authorized official Braden, Jason M.A. MDIV
Entity Organization
Organization subpart 1 Yes
Enumeration date May 27th, 2021
Last updated May 26th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers