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A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Mental Illness |
320800000X |
| NPI # | 1770843997 |
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| LBN Legal business name | LIGHTHOUSE RANCH FOR BOYS INC. | ||||
| Authorized official | DANIEL SMITH - (PRESIDENT/DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/22/2012 | ||||
| Last updated | 05/22/2012 - About 14 years ago | ||||
| Identifiers |
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LIGHTHOUSE RANCH FOR BOYS INC.
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LIGHTHOUSE RANCH FOR BOYS INC.