NPI | 1932792900 |
---|---|
Doing Business As | BEACON HOUSE |
Entity Type | Organization |
Authorized Contact | TRACY SCHMIT Operations Director 920-923-3999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-02-19 |
Last Update Date | 2021-02-19 |