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The Beacon House Association Of San Pedro
Substance Abuse Rehabilitation Facility in San Pedro, California
NPI 1104573633

The Beacon House Association Of San Pedro is a Substance Abuse Rehabilitation Facility based in San Pedro, CA. The Beacon House Association Of San Pedro practices in San Pedro, CA. The NPI Number for The Beacon House Association Of San Pedro is 1104573633 and holds a License No. (California).

The current practice location address for The Beacon House Association Of San Pedro is 103 W. 11Th St., San Pedro, CA and can be reached out via phone at 310-514-4940.

Location: 103 W. 11Th St., San Pedro, CA, 90733-0328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104573633
Provider Name
The Beacon House Association Of San Pedro
Credential
Provider Entity Type
Organization
Address
103 W. 11Th St., San Pedro, CA, 90733-0328
Phone Number
310-514-4940
Fax Number
Provider Enumeration Date
03/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
103 W. 11Th St.
City
San Pedro
State
California
Zip
90731-4301
Phone Number
310-514-4940
Fax Number
person
Provider Business Mailing Address Details
Address
103 W. 11Th St.
City
San Pedro
State
California
Zip
90731-4301
Phone Number
310-514-4940
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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