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NORTHWEST BEACON GROUP LLC NPI 1689695868


NPI Information

NPI: 1689695868
Provider Name: NORTHWEST BEACON GROUP LLC

Doing Business As: CENTER FOR PERSONAL AND FAMILY GROWTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1330 W 26TH ST
2ND FLOOR
ERIE, PA
ZIP 16508
Phone: (814) 451-2345
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NORTHWEST BEACON GROUP LLC is a mental health (including community mental health center) clinic center in Erie, PA. NORTHWEST BEACON GROUP LLC NPI is 1689695868. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Personal And Family Growth.

The provider's business location address is:

1330 W 26TH ST
2ND FLOOR
ERIE, PA
ZIP 16508-402
Phone: (814) 451-2345
Fax: (814) 451-2348

The provider's authorized official is Catheryn Ann Mcginnis .
The authorized official title is Business Manager and has the following contact phone number (814) 451-2235.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 5/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERPENNSYLVANIATAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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