| Beacon House Aftercare Program | |
|
963 S 2nd St Louisville KY 40203-2211 | |
| (502) 581-0765 | |
| (502) 581-1748 |
| Full Name | Beacon House Aftercare Program |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 963 S 2nd St, Louisville, Kentucky |
| Authorized Official Name and Position | Lee Russ Read (CEO) |
| Authorized Official Contact | 5025810765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon House Aftercare Program 963 S 2nd St Louisville KY 40203-2211 Ph: (502) 581-0765 | Beacon House Aftercare Program 963 S 2nd St Louisville KY 40203-2211 Ph: (502) 581-0765 |
| NPI Number | 1497436844 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497436844 | NPI | - | NPPES |
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