Organization
BEHAVIORAL HEALTH SERVICES INC.
Active
Other names
Pacifica House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI CANNON (EXECUTIVE VICE PRESIDENT)
(310) 679-9126
Entity
Organization
Contact information
Practice address
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3317
(323) 754-2816
(323) 754-2828
Mailing address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9126
(310) 679-2920
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
190007GN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190007GN
DRUG AND ALCOHOL LICENSE
CA
Enumeration date
03/07/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us