Organization
BEHAVIORAL HEALTH SERVICES, INC.
Active
Other names
South Bay Family Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA LYNN CANNON (CHIEF 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 90249-4525
(310) 679-9126
(310) 679-2920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190007HN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190007HN
—
CA
Enumeration date
02/28/2007
Last updated
06/07/2010
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