Organization
BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY VAN OUDHEUSDEN MA, MSW (PRESIDENT/CEO)
(310) 679-9126
Entity
Organization
Contact information
Practice address
505 S PACIFIC AVE, SUITE 201, SAN PEDRO, CA 90731-2656
(310) 831-2358
(310) 831-2356
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
190007QN
CA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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