Organization
BEACON GROUP
Active
Organization
BEACON GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERIDITH LYN LALIBERTE (PSYCHOLOGIST)
(516) 974-5090
Entity
Organization
Contact information
Practice address
54 HENRY AVE, BABYLON, NY 11702-1327
(516) 974-5090
Mailing address
54 HENRY AVE, BABYLON, NY 11702-1327
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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