Organization · Type 2 NPI

The Lighthouse Mentoring Center

Mental Illness Community Based Residential Treatment Facility · Antioch, CA

NPI number 1932774692 Active

Practice location

4438 Buckeye Way
Antioch, CA 94531-9334

Call (925) 755-8499 Map

Fax (925) 755-8495

Mailing address

PO Box 853
Pittsburg, CA 94565-0085

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.

2 other providers at this address

Other mental illness community based residential treatment facility providers in Antioch

See all in Antioch →

NPI record

NPI: 1932774692
Entity type: Organization (Type 2)
Issued: May 25, 2021
Last updated: Jun 3, 2022
Status: Active
Subpart: Yes of The Lighthouse Mentoring Center

Other names

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Lighthouse Mentoring Center 2 · other name

Authorized official

James Lancaster, LMFT
Head of Service
(925) 755-8499

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About NPI 1932774692

The Lighthouse Mentoring Center's National Provider Identifier is 1932774692, issued on May 25, 2021. 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 Jun 3, 2022.