NPI 1013244797
The Northern Lighthouse INC
Practice location
- Address
- 14 Main St, Mars Hill, ME 04758
- Phone
- (207) 425-8880
- Mailing address
- PO Box 498, Mars Hill, ME 04758-0498
Authorised official
- Name
- Tiffany Faulkner
- Title
- Administrator
- Phone
- (207) 425-3880
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1013244797
- Entity type
- Organization
- NPI issued
- 17 Nov 2009
- Record last updated
- 17 Nov 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.