NPI 1134592470

Beacon Group

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Babylon, NY

Practice location

Address: 54 Henry Ave, Babylon, NY 11702-1327
Phone: (516) 974-5090

Authorised official

Name: Meridith Lyn Laliberte
Title: Psychologist
Phone: (516) 974-5090

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1134592470
Entity type: Organization
NPI issued: 9 Nov 2015
Record last updated: 9 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.