NPI | 1497087472 |
---|---|
Doing Business As | BEACON LIGHT BEHAVIORAL HEALTH SYSTEM |
Entity Type | Organization |
Authorized Contact | BRIDGET V MANGOLD Controller 814-817-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 416020) |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 332930) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2017-01-23 |