Behavioral Health Services
Clinic/Center, Rehabilitation, Substance Use Disorder in Los Angeles, CA. Organization (NPI-2).
NPI number1407123722
StatusActive
Last updated in NPPESDec 1, 2011
Details
- NPI
- 1407123722
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Health Services
- Organization subpart
- No
- Enumeration date
- Dec 1, 2011
- Last updated
- Dec 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Practice location
4099 N Mission RdLos Angeles, CA 90032-2554
Phone 323-221-1746 · Fax 323-221-5176
Mailing address
4099 N Mission RdLos Angeles, CA 90032-2554
Phone 323-221-1746 · Fax 323-221-5176
Authorized official
Felipe Rodriguez
Supervisor
3232211746
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