Organization
BEACON HOUSE LLC
Active
Organization
BEACON HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY JONES (OWNER)
(435) 255-6150
Entity
Organization
Contact information
Practice address
60 S MAIN ST STE 6, TOOELE, UT 84074-2136
(435) 255-6150
Mailing address
60 S MAIN ST STE 6, TOOELE, UT 84074-2136
(435) 255-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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