| NPI | 1538265863 |
|---|---|
| Other Name | BEACON MEDICAL GROUP BEHAVIORAL HEALTH ELKHART |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P COSTELLO CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 06-005017-1) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-10-27 |