| 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 |