Organization
BEACON HOUSE AFTERCARE PROGRAM
Active
Other names
Beacon House Aftercare
Organization subpart
No
Provider details
NPI number
Authorized official
LEE RUSS READ MA (CEO)
(502) 581-0765
Entity
Organization
Contact information
Practice address
963 S 2ND ST, LOUISVILLE, KY 40203-2211
(502) 581-0765
(502) 581-1748
Mailing address
963 S 2ND ST, LOUISVILLE, KY 40203-2211
(502) 581-0765
(502) 581-1748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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