Organization · Type 2 NPI

Lighthouse RTC

Emotionally Disturbed Childrens' Residential Treatment Facility · Yuma, AZ

NPI number 1780853051 Active

Practice location

13708 E 50th St
Yuma, AZ 85367-8503

Mailing address

964 W 34th Pl
Yuma, AZ 85365-4357

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X3048 (AZ)

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.

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About NPI 1780853051

Lighthouse RTC's National Provider Identifier is 1780853051, issued on Feb 20, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Yuma, AZ. The record was last updated on May 16, 2008.