| Beacon Light Behavioral Health Systems | |
|
1885 Market St Warren PA 16365-1277 | |
| (814) 723-1832 | |
| (814) 362-5245 |
| Full Name | Beacon Light Behavioral Health Systems |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1885 Market St, Warren, Pennsylvania |
| Authorized Official Name and Position | Tina M Cary (CREDENTIALING) |
| Authorized Official Contact | 8148171400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Light Behavioral Health Systems 800 E Main St Bradford PA 16701-3278 Ph: (814) 362-5250 | Beacon Light Behavioral Health Systems 1885 Market St Warren PA 16365-1277 Ph: (814) 723-1832 |
| NPI Number | 1043331994 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043331994 | NPI | - | NPPES |
| 100771021 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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