Organization · Type 2 NPI
Lighthouse Ranch for Boys Inc.
Mental Illness Community Based Residential Treatment Facility · Loranger, LA
NPI number
1770843997
Active
Practice location
51453 Hwy 443
Loranger, LA 70446
Fax (985) 878-9370
Mailing address
PO Box 238
Loranger, LA 70446-0238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 15250 (LA) |
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.
About NPI 1770843997
Lighthouse Ranch for Boys Inc.'s National Provider Identifier is 1770843997, issued on May 22, 2012. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Loranger, LA. The record was last updated on May 22, 2012.