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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