Organization · NPI-2

Behavioral Health Services, INC.

Community/Behavioral Health · Gardena, CA

NPI number1407984800
StatusActive
Last updated in NPPESJun 7, 2010

Details

NPI
1407984800
Entity type
Organization (NPI-2)
Legal business name
Behavioral Health Services, INC.
Organization subpart
No
Enumeration date
Feb 28, 2007
Last updated
Jun 7, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health190007HNCAYes

Other names

  • South Bay Family Recovery Center (Doing Business As)

Practice location

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Phone 310-679-9031 · Fax 310-679-9034

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Phone 310-679-9126 · Fax 310-679-2920

Authorized official

Theresa Lynn Cannon
Chief Compliance Officer
3106799126

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