Organization
BEACON THERAPEUTIC SCHOOL, INC.
Active
Other names
Beacon Therapeutic Diagnostic Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL THOMPSON (DEPUTY CEO)
(773) 298-1243
Entity
Organization
Contact information
Practice address
11740 S WESTERN AVE, CHICAGO, IL 60643-4732
(773) 233-3821
(773) 298-1078
Mailing address
10650 S LONGWOOD DR, CHICAGO, IL 60643-2617
(773) 881-1005
(773) 881-1164
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
04011
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
04011
IL
Other
Enumeration date
07/18/2011
Last updated
01/06/2017
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