| Behavioral Health Services South Bay Family Recovery Center | |
|
15519 Crenshaw Blvd Gardena CA 90249-4525 | |
| (310) 679-9031 | |
| (310) 679-9034 |
| Full Name | Behavioral Health Services South Bay Family Recovery Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 15519 Crenshaw Blvd, Gardena, California |
| Authorized Official Name and Position | Debbie Levan (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 3106799126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services South Bay Family Recovery Center 15519 Crenshaw Blvd. Gardena CA 90249-4597 Ph: (310) 679-9031 | Behavioral Health Services South Bay Family Recovery Center 15519 Crenshaw Blvd Gardena CA 90249-4525 Ph: (310) 679-9031 |
| NPI Number | 1275877151 |
|---|---|
| Provider Enumeration Date | 11/16/2012 |
| Last Update Date | 11/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275877151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RI-P0804221503 (California) | Primary |
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