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Organization
BEACON PSYCHIATRIC WELLNESS CENTER
Active
Organization
BEACON PSYCHIATRIC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DOBOS (ADMINISTRATOR)
(602) 512-5506
Entity
Organization
Contact information
Practice address
12611 N 103RD AVE STE A, SUN CITY, AZ 85351-3422
(602) 512-5506
Mailing address
12611 N 103RD AVE STE A, SUN CITY, AZ 85351-3422
(602) 512-5506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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