Organization
BEACON HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILLISON MFT (CEO)
(831) 372-2334
Entity
Organization
Contact information
Practice address
468 PINE AVE, PACIFIC GROVE, CA 93950-3440
(831) 372-2334
(831) 372-2396
Mailing address
PO BOX 301, PACIFIC GROVE, CA 93950-0301
(831) 372-2334
(831) 372-2396
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
270001AN
CA
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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