Organization · Type 2 NPI
The Beacon House Association of San Pedro
Substance Use Disorder Rehabilitation Clinic/Center · San Pedro, CA
NPI number
1104573633
Active
Practice location
103 W. 11th St.
San Pedro, CA 90731-4301
Mailing address
PO Box 328
San Pedro, CA 90733-0328
Other practice locations
- 411 W 10th St, San Pedro, CA 90731-3213 · (310) 514-4940
- 126 W. 10th St., San Pedro, CA 90731 · (310) 514-4940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Other substance use disorder rehabilitation clinic/center providers in San Pedro
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- Fred Brown's Recovery ServicesSubstance Use Disorder Rehabilitation Clinic/Center San Pedro, CA NPI 1528616117
- Renew Integrated Program-2 IncorporationSubstance Use Disorder Rehabilitation Clinic/Center San Pedro, CA NPI 1891997847
About NPI 1104573633
The Beacon House Association of San Pedro's National Provider Identifier is 1104573633, issued on Mar 4, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in San Pedro, CA. The record was last updated on Jul 11, 2024.