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Organization
BEHAVIORAL HEALTH SERVICES SOUTH BAY FAMILY RECOVERY CENTER
Active
Organization
BEHAVIORAL HEALTH SERVICES SOUTH BAY FAMILY RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE LEVAN MPH, CCEP (CORPORATE COMPLIANCE OFFICER)
(310) 679-9126
Entity
Organization
Contact information
Practice address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9031
(310) 679-9034
Mailing address
15519 CRENSHAW BLVD., GARDENA, CA 90249-4597
(310) 679-9031
(310) 679-9034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-P0804221503
CA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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