| NPI | 1053894790 |
|---|---|
| Former Legal Business Name | BEACON HEALTH OPTIONS CARE SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | ANGELA EDMONDS General Manager 855-227-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2024-11-18 |