1225166069 LIGHT HOUSE GROUP

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
LIGHT HOUSE GROUP
Enumeration Date
March 2, 2007
Last Update
August 22, 2020
Authorized Official
CHARLES DAVENPORT
PRESIDENT
Phone: (910) 497-0299

Practice Location

Address
206 WAPITI DR
108 ASHTON PL
SPRING LAKE, NC 283901530
Phone
(910) 497-0299
Fax
(910) 497-0297

Mailing Address

Address
408 HARRELL ST
PO BOX 1089
SPRING LAKE, NC 283903607
Phone
(910) 497-0299
Fax
(910) 497-0297

Specialties & Taxonomies

Specialty Code Classification License State Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children MHL -026-805 NC No
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children MHL-026-782 NC No
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children MHL-026-627 NC Primary

Other Identifiers

Identifier Type State Issuer
6603194 05 NC N/A
6603652 05 NC N/A
6603907 05 NC N/A

Frequently Asked Questions

What is LIGHT HOUSE GROUP's NPI number?
LIGHT HOUSE GROUP's NPI number is 1225166069.
Which doctor has NPI number 1225166069?
The doctor with NPI number 1225166069 is LIGHT HOUSE GROUP.
What is LIGHT HOUSE GROUP's practice address?
LIGHT HOUSE GROUP's practice address is 206 WAPITI DR, 108 ASHTON PL, SPRING LAKE, NC, 283901530.
Which doctor practices at 206 WAPITI DR, 108 ASHTON PL, SPRING LAKE, NC, 283901530?
LIGHT HOUSE GROUP practices at 206 WAPITI DR, 108 ASHTON PL, SPRING LAKE, NC, 283901530.
What is LIGHT HOUSE GROUP's mailing address?
LIGHT HOUSE GROUP's mailing address is 408 HARRELL ST, PO BOX 1089, SPRING LAKE, NC, 283903607.
What is LIGHT HOUSE GROUP's phone number?
LIGHT HOUSE GROUP's phone number is (910) 497-0299.
Who is (910) 497-0299?
(910) 497-0299 is the phone number for LIGHT HOUSE GROUP.
What is LIGHT HOUSE GROUP's specialty?
LIGHT HOUSE GROUP's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is LIGHT HOUSE GROUP?
LIGHT HOUSE GROUP is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is LIGHT HOUSE GROUP a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, LIGHT HOUSE GROUP is a Residential Treatment Facility, Emotionally Disturbed Children.
Is LIGHT HOUSE GROUP still practicing?
Yes, LIGHT HOUSE GROUP is currently practicing.
Is LIGHT HOUSE GROUP accepting new patients?
LIGHT HOUSE GROUP may be accepting new patients. Please call their office at (910) 497-0299 to inquire about availability.
Is NPI 1225166069 still active?
Yes, NPI 1225166069 is currently active.
Where does LIGHT HOUSE GROUP practice?
LIGHT HOUSE GROUP practices in SPRING LAKE, NC.