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Organization
BEACON LIGHT ALTERNATIVE SERVICES
Active
Organization
BEACON LIGHT ALTERNATIVE SERVICES
Active
Other names
Captiol Region Mental health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEON BERRY CEO (FOUNDER)
(860) 597-1575
Entity
Organization
Contact information
Practice address
70 FOREST ST, HARTFORD, CT 06105-3204
(860) 597-1575
Mailing address
70 FOREST ST, HARTFORD, CT 06105-3204
(860) 597-1575
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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