The Beacon House Association of San Pedro
NPI #1104573633 in San Pedro, California
Provider Information
- NPI Number
- 1104573633
- Entity Type
- Organization
- Organization Name
- The Beacon House Association of San Pedro
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Mar 4, 2022
- Last Updated
- Jul 11, 2024
Practice Location
- Address
- 103 W. 11TH ST.
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-4301
- Phone
- (310) 514-4940
Authorized Official
- Name
- MR. JONATHAN HIGGINS, CATC I
- Title
- CHIEF COMPLIANCE OFFICER
- Phone
- (310) 514-4940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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