NPI 1164096988
Beacon Behavioral Institute, LLC
Practice location
- Address
- 68 Bishop St STE 3-3, Portland, ME 04103-2681
- Phone
- (207) 210-2672
- Mailing address
- 95 Falmouth Rd, Falmouth, ME 04105-1841
Authorised official
- Name
- Maria E Grunglasse
- Title
- Executive Director
- Phone
- (207) 210-2672
Registered specialties (2)
Community/Behavioral Health Agency
Primary
Case Management Agency
Registry record
- NPI
- 1164096988
- Entity type
- Organization
- NPI issued
- 17 May 2021
- Record last updated
- 1 Jun 2021
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.