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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