| NPI | 1497453252 |
|---|---|
| Doing Business As | BEACON BEHAVIORAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ANNA ADEKUGBE President 617-308-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-10-05 |