| NPI | 1558994434 |
|---|---|
| Doing Business As | BEACON BEHAVIORAL OUTPATIENT - BOGALUSA |
| Entity Type | Organization |
| Authorized Contact | PHILLIP SEAN WENDELL CEO 225-810-4040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2021-04-12 |