| NPI | 1245528710 |
|---|---|
| Doing Business As | BEACON THERAPEUTIC DIAGNOSTIC TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | CHERYL THOMPSON Deputy CEO 773-298-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04011) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 04011) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2017-01-06 |