| NPI | 1083618672 |
|---|---|
| Doing Business As | BEACON CENTER |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE L WEST Chief Operating Officer 716-831-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 050610689) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM2800X Clinic/Center Methadone (Licence: NY 170912042) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2021-05-18 |