Organization
BEACON LIGHT ALTERNATIVE SERVICES
Active
Other names
Captiol Region Mental health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEON BERRY CEO (FOUNDER)
(860) 597-1575
Entity
Organization
Contact information
Practice address
70 FOREST ST, HARTFORD, CT 06105-3204
(860) 597-1575
Mailing address
70 FOREST ST, HARTFORD, CT 06105-3204
(860) 597-1575
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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