Behavioral Health Services in Gardena - Substance Abuse Rehabilitation Facility
Behavioral Health Services - NPI 1619008380
Behavioral Health Services is a Substance Abuse Rehabilitation Facility in Gardena, California. Behavioral Health Services practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Behavioral Health Services is 1619008380. The last update date is 2020-08-22.
Behavioral Health Services's current location address is 15519 Crenshaw Blvd, Gardena, California. You can contact this provider via phone number 3106799126 and fax number 3106792920. The mailing address for Behavioral Health Services is 15519 Crenshaw Blvd, Gardena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Behavioral Health Services |
|---|---|
| Address | 15519 Crenshaw Blvd, Gardena, California |
| Phone Number | 3106799126 |
| Fax Number | 3106792920 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Cannon Teri |
| Telephone Number | 3106799126 |
NPI Number Detail
| NPI Number | 1619008380 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 15519 Crenshaw Blvd |
|---|---|
| City | Gardena |
| State | California (CA) |
| Post Code | 902494525 |
| Phone Number | 3106799126 |
| Fax Number | 3106792920 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 190007FN |
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Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190007FN | CA | DRUG AND ALCOHOL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Behavioral Health Services by the Centers for Medicare & Medicaid Services?
The Behavioral Health Services has been issued the NPI (National Provider Identifier) 1619008380 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Behavioral Health Services's physical address?
The Behavioral Health Services is physically located at 15519 Crenshaw Blvd, in the city of Gardena, CA, with the postal code 902494525.
What is Behavioral Health Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Behavioral Health Services's area of specialization is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this field of practice is 324500000X.
On what date did the Behavioral Health Services receive the assignment of its 1619008380 from the Centers for Medicare & Medicaid Services?
The Behavioral Health Services was issued its 1619008380 by the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the Behavioral Health Services's information last updated?
The Behavioral Health Services's information was last updated on 2020-08-22.