NPI | 1306203310 |
---|---|
Doing Business As | THE BEACON HOUSE |
Entity Type | Organization |
Authorized Contact | PATRICIA MCCORMICK EVANS Owner 910-995-7918 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2865A) |
101YP2500X Counselor, Professional (Licence: NC 9734) | |
171M00000X Case Manager/Care Coordinator | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-01-21 |