Organization
BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization
BEHAVIORAL HEALTH SERVICES, INC.
Active
Other names
Lincoln Heights Family Recovery Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY VAN OUDHEUSDEN M.A., M.S.W. (PRESIDENT/CEO)
(310) 679-9126
Entity
Organization
Contact information
Practice address
4099 N MISSION RD, LOS ANGELES, CA 90032-2554
(323) 221-1746
(323) 221-5176
Mailing address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9126
(310) 679-2920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190007KN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190007KN
—
CA
05
—
7520
—
CA
Enumeration date
02/28/2007
Last updated
02/27/2013
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