| NPI | 1841072600 |
|---|---|
| Other Name | BEACH STREET COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JEANNIE JENUWINE Owner 386-299-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |