| Coachella Valley Lighthouse | |
|
78900 Avenue 47 Suite 105 La Quinta CA 92253-2070 | |
| (760) 625-0951 | |
| (760) 564-5049 |
| Full Name | Coachella Valley Lighthouse |
|---|---|
| Speciality | Behavior Analyst |
| Location | 78900 Avenue 47, La Quinta, California |
| Authorized Official Name and Position | Stephanie Rosales (CEO/EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Contact | 7606250951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coachella Valley Lighthouse Po Box 355 Indio CA 92202-0355 Ph: (760) 625-0951 | Coachella Valley Lighthouse 78900 Avenue 47 Suite 105 La Quinta CA 92253-2070 Ph: (760) 625-0951 |
| NPI Number | 1427319573 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427319573 | NPI | - | NPPES |
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