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Organization

BEACON BEHAVIORAL INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA E GRUNGLASSE LCPC (EXECUTIVE DIRECTOR)
(207) 210-2672
Entity
Organization

Contact information

Practice address
68 BISHOP ST STE 3-3, PORTLAND, ME 04103-2681
(207) 210-2672
Mailing address
95 FALMOUTH RD, FALMOUTH, ME 04105-1841
(207) 210-2672

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/17/2021
Last updated
06/01/2021
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