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Behavioral Health Services INC.

Clinic/Center, Community Health in Wilmington, CA. Organization (NPI-2).

NPI number1023536992
StatusActive
Last updated in NPPESAug 31, 2017

Details

NPI
1023536992
Entity type
Organization (NPI-2)
Legal business name
Behavioral Health Services INC.
Organization subpart
No
Enumeration date
Aug 31, 2017
Last updated
Aug 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QC1500X Clinic/Center, Community Health550003493CAYes

Other names

  • Bhs - El Puerto Family Health Center (Doing Business As)

Practice location

1334 N Avalon Blvd
Wilmington, CA 90744-2639

Phone 310-835-4009 · Fax 310-679-2920

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Phone 310-679-9126 · Fax 310-679-2920

Authorized official

Shirley Ann Summers
President/Chief Executive Officer
3106799126

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