| Lighthouse Child & Family Services | |
|
160 3rd Ave Nw Milaca MN 56353-1555 | |
| (320) 983-2335 | |
| Not Available |
| Full Name | Lighthouse Child & Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 3rd Ave Nw, Milaca, Minnesota |
| Authorized Official Name and Position | Julie Ann Hanenburg (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 3209832335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Child & Family Services 160 3rd Ave Nw Milaca MN 56353-1555 Ph: (320) 983-2335 | Lighthouse Child & Family Services 160 3rd Ave Nw Milaca MN 56353-1555 Ph: (320) 983-2335 |
| NPI Number | 1487093944 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487093944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1689861197 (Minnesota) | Primary |
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