NPI | 1114937950 |
---|---|
Doing Business As | BEACON HOUSE |
Entity Type | Organization |
Authorized Contact | PHYLLIS A COOK Executive Director 205-384-4539 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AL 000373) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |