Light House Group
Light House Group is an Emotionally Disturbed Childrens' Residential Treatment Facility in Spring Lake, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
206 Wapiti Dr 108 Ashton PlSpring Lake, NC 28390-1530
Phone: (910) 497-0299
Fax: (910) 497-0297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence MHL-026-627 (NC) |
|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X · Licence MHL -026-805 (NC) |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X · Licence MHL-026-782 (NC) |
Record details
| NPI number | 1225166069 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Davenport — President · (910) 497-0299 |
| NPI enumerated | March 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 408 Harrell St, Po Box 1089, Spring Lake, NC 28390-3607 |
Other providers in Spring Lake
-
Diyah's Home, Inc
10691 Nc Highway 210 S, Spring Lake, NC 28390-8049 · (910) 497-8599
-
Ican & Associates
3002 Brinkley Dr, Spring Lake, NC 28390-1602 · (910) 860-9787
-
Shining Star
378 Appaloosa Dr, Spring Lake, NC 28390-8504 · (910) 904-6699
-
Sierra's Residential Services, Inc
21 Lanexa Rd, Spring Lake, NC 28390-8274 · (910) 497-4096