Organization
BEACON BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
Beacon Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GREGORY MCCLARY SR. MSW (EXECUTIVE DIRECTOR)
(908) 391-9241
Entity
Organization
Contact information
Practice address
154 COOPER RD, SUITE 801, WEST BERLIN, NJ 08091-9128
(856) 767-4690
(856) 767-4695
Mailing address
154 COOPER RD, SUITE 801, WEST BERLIN, NJ 08091-9128
(856) 767-4690
(856) 767-4695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062294
—
NJ
Enumeration date
01/22/2007
Last updated
08/22/2020
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