Organization
BEHAVIORAL HEALTH SERVICES INC.
Active
Organization
BEHAVIORAL HEALTH SERVICES INC.
Active
Other names
Wilmington Community Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI CANNON (CHIEF COMPLIANCE OFFICER)
(310) 679-9126
Entity
Organization
Contact information
Practice address
1318 N AVALON BLVD, SUITE 1318A & 1314B, WILMINGTON, CA 90744-2639
(310) 549-2710
(310) 549-2715
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
190007CN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190007CN
ALCOHOL DRUG CERTIFICATIO
CA
Enumeration date
03/07/2007
Last updated
03/10/2010
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