Organization
BEACON CHARITIES
Active
Other names
Beacon Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE APPLEGATE (ADMINISTRATIVE DIRECTOR)
(928) 551-0505
Entity
Organization
Contact information
Practice address
APACHE COUNTY RD 3398, VERNON, AZ 85940
(928) 551-0505
(928) 251-2312
Mailing address
PO BOX 813, VERNON, AZ 85940-0813
(928) 551-0505
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
05/09/2023
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