| NPI | 1104573633 |
|---|---|
| Other Name | BEACON HOUSE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN HIGGINS Chief Compliance Officer 310-514-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2024-07-11 |