| NPI | 1104604602 |
|---|---|
| Doing Business As | BEACON BEHAVIORAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CATHERINE NOBILE Founder/Director 516-527-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |