| NPI | 1750754891 |
|---|---|
| Doing Business As | BEACH HOUSE CENTER FOR RECOVERY |
| Entity Type | Organization |
| Authorized Contact | MARK PUNDT CEO 716-912-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2024-07-02 |