NPI | 1881996940 |
---|---|
Doing Business As | BEACON BEHAVIORAL OUTPATIENT - LUTCHER |
Entity Type | Organization |
Authorized Contact | SEAN WENDELL CEO 225-810-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
276400000X Rehabilitation, Substance Use Disorder Unit | |
Enumeration Date | 2010-11-23 |
Last Update Date | 2023-11-13 |