| NPI | 1386267797 |
|---|---|
| Doing Business As | BEACON WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CAMERON DUPREE TROTTER CEO 480-375-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |