NPI | 1558798686 |
---|---|
Doing Business As | BEACON HOUSE |
Entity Type | Organization |
Authorized Contact | TRACY SCHMIT Operations Director 920-923-3999 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2013-10-03 |
Last Update Date | 2021-02-12 |