| Beacon Light Behavioral Health | |
|
945 South Ave. Custer City PA 16725 | |
| (814) 362-6565 | |
| (814) 362-6415 |
| Full Name | Beacon Light Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 945 South Ave., Custer City, Pennsylvania |
| Authorized Official Name and Position | Bruce R. Simons (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8143626565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Light Behavioral Health 800 E Main St Bradford PA 16701-3278 Ph: (814) 362-5250 | Beacon Light Behavioral Health 945 South Ave. Custer City PA 16725 Ph: (814) 362-6565 |
| NPI Number | 1891986824 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891986824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS015091 (Pennsylvania) | Primary |
Children's Center For Treatment And Education Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 South Ave, Custer City, PA 16725 Phone: 814-817-1400 |