# BEHAVIORAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134493497
- **Authorized official:** MR. FELIPE RODRIGUEZ CLINICAL SUPERVISOR (SUPERVISOR)
- **Authorized official phone:** (323) 221-1746

## Contact information

- **Practice address:** 4099 N MISSION RD, LOS ANGELES, CA 90032-2554
- **Practice address phone:** (323) 221-1746
- **Practice address fax:** (323) 221-7156
- **Mailing address:** 4099 N MISSION RD, LOS ANGELES, CA 90032-2554
- **Mailing address phone:** (323) 221-1746
- **Mailing address fax:** (323) 221-7156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2012
- **Last updated:** 03/05/2012