Organization
THE BEACON HOUSE ASSOCIATION OF SAN PEDRO
Active
Other names
Beacon House
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SMITH (MANAGEMENT DIRECTOR)
(310) 514-4940
Entity
Organization
Contact information
Practice address
132 W 10TH ST, SAN PEDRO, CA 90731-3702
(310) 514-4940
(310) 831-0070
Mailing address
PO BOX 328, SAN PEDRO, CA 90733-0328
(310) 514-4940
(310) 831-0070
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190006BN
CA
Other
Enumeration date
07/27/2016
Last updated
08/30/2023
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