Organization
BHS PACIFICA HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL A MCINTOSH (COUNSELOR)
(323) 754-2816
Entity
Organization
Contact information
Practice address
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3317
(323) 754-2816
(323) 754-2828
Mailing address
2501 W. EL SEGUNDO BLVD., HAWTHORNE, CA 90250
(323) 754-2816
(323) 754-2828
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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