Organization · Type 2 NPI

Lighthouse for Youth

Emotionally Disturbed Childrens' Residential Treatment Facility · Wakefield, RI

NPI number 1457484875 Active

Practice location

81 Spencer Ct
Wakefield, RI 02879-2820

Fax (401) 782-1145

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: 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.

Another provider at this address

About NPI 1457484875

Lighthouse for Youth's National Provider Identifier is 1457484875, issued on Mar 14, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Wakefield, RI. The record was last updated on Aug 22, 2020.