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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