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Beacon Behavioral Institute, LLC

Community/Behavioral Health in Portland, ME. Organization (NPI-2).

NPI number1164096988
StatusActive
Last updated in NPPESJun 1, 2021

Details

NPI
1164096988
Entity type
Organization (NPI-2)
Legal business name
Beacon Behavioral Institute, LLC
Organization subpart
No
Enumeration date
May 17, 2021
Certification date
Jun 1, 2021
Last updated
Jun 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251B00000X Case Management––

Practice location

68 Bishop St Ste 3-3
Portland, ME 04103-2681

Phone 207-210-2672

Mailing address

95 Falmouth Rd
Falmouth, ME 04105-1841

Phone 207-210-2672

Authorized official

Maria E Grunglasse
Executive Director
2072102672

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