Organization
BEACON HOUSE
Active
Parent organization
BEACON HOUSE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON HOUSE
Authorized official
NICHOLAS LAMONICA (CONTRACT SPECIALIST)
(312) 663-1130
Entity
Organization
Contact information
Practice address
667 LIGHTHOUSE AVE STE 201, PACIFIC GROVE, CA 93950-2666
(866) 421-6156
Mailing address
55 E JACKSON BLVD STE 1500, CHICAGO, IL 60604-4137
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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