| The Lighthouse | |
|
1521 Ranch Rd Clayton NC 27520-6457 | |
| (919) 550-8038 | |
| (919) 882-6311 |
| Full Name | The Lighthouse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1521 Ranch Rd, Clayton, North Carolina |
| Authorized Official Name and Position | Kory Kale (CFO) |
| Authorized Official Contact | 9197954438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lighthouse Po Box 24914 Raleigh NC 27611-4914 Ph: (919) 795-4438 | The Lighthouse 1521 Ranch Rd Clayton NC 27520-6457 Ph: (919) 550-8038 |
| NPI Number | 1558542407 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558542407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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