Organization
BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY SUMMERS (CEO)
(310) 679-9126
Entity
Organization
Contact information
Practice address
590 W 8TH ST, SAN PEDRO, CA 90731-3120
(310) 831-2358
Mailing address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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