Organization · Type 2 NPI

The Lighthouse Mentoring Center

Mental Illness Community Based Residential Treatment Facility · Antioch, CA

NPI number 1114805926 Active

Practice location

5453 Shrike Way
Antioch, CA 94531-7821

Fax (925) 350-0158

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1114805926
Entity type: Organization (Type 2)
Issued: Aug 21, 2025
Last updated: Sep 18, 2025
Status: Active
Subpart: Yes of The Lighthouse Mentoring Center

Other names

Lighthouse Mentoring Center 5 · doing business as

Authorized official

Phyllis Ritter, LMFT
Clinical Director
(925) 628-1641

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About NPI 1114805926

The Lighthouse Mentoring Center's National Provider Identifier is 1114805926, issued on Aug 21, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Antioch, CA. The record was last updated on Sep 18, 2025.