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Behavioral Health Services South Bay Family Recovery Center

Counselor, Addiction (Substance Use Disorder) in Gardena, CA. Organization (NPI-2).

NPI number1275877151
StatusActive
Last updated in NPPESNov 16, 2012

Details

NPI
1275877151
Entity type
Organization (NPI-2)
Legal business name
Behavioral Health Services South Bay Family Recovery Center
Organization subpart
No
Enumeration date
Nov 16, 2012
Last updated
Nov 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)RI-P0804221503CAYes

Practice location

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Phone 310-679-9031 · Fax 310-679-9034

Mailing address

15519 Crenshaw Blvd.
Gardena, CA 90249-4597

Phone 310-679-9031 · Fax 310-679-9034

Authorized official

Debbie Levan
Corporate Compliance Officer
3106799126

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