| NPI | 1316554249 |
|---|---|
| Other Name | BEACHWOOD GATES INC. |
| Entity Type | Organization |
| Authorized Contact | LAURIE WILSON Owner 714-747-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |