Organization
BEHAVIORAL HEALTH SERVICES
Active
Organization
BEHAVIORAL HEALTH SERVICES
Active
Other names
Inglewood Community Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI CANNON (EXECUTIVE VICE PRESIDENT)
(310) 679-9126
Entity
Organization
Contact information
Practice address
404 EDGEWOOD ST, INGLEWOOD, CA 90302-3415
(310) 673-5750
(310) 673-1236
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
190007BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190007BN
ALCOHOL DRUG CERTIFICATIO
CA
Enumeration date
03/07/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up