| NPI | 1174699169 |
|---|---|
| Doing Business As | BEACON HOUSE |
| Entity Type | Organization |
| Authorized Contact | PAUL DANN Executive Director 603-746-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: ME 409600) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-03-21 |