THE BEACON HOUSE ASSOCIATION OF SAN PEDRO
Residential Treatment Facilities at 10 St, San Pedro, CA

License number
California 190006BN
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: BRIAN SMITH
Title: MANAGEMENT DIRECTOR
Phone: (310) 514-4940
Address
Address
132 W 10Th St, San Pedro, CA 90731
National Provider ID: 1386197267
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE BEACON HOUSE ASSOCIATION OF SAN PEDRO

San Pedro, CA

Industry:
Specialty Outpatient Clinic
Registration:
May 14, 1974
Addresses:
1003 S Beacon St, San Pedro, CA 90731 (Physical)
PO Box 328, San Pedro, CA 90733
State ID:
C0714393
Presidents:
Bill Maddox (President),Luis Martinez Lozano President, inactive
SIC:
8231 - Libraries

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