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Behavioral Health Services

Organization Active NPI Substance Abuse Rehabilitation Facility · Hawthorne, CA

NPI 1619008380 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1619008380
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
License
190007FN (CA)
Legal business name
BEHAVIORAL HEALTH SERVICES
Practice address
12917 Cerise Ave
Hawthorne, CA 90250-5520
Phone
(310) 675-4431
Fax
(310) 675-4434
NPI assigned
Mar 7, 2007
Organization subpart
No

Authorized official

Name
Ms. Teri Cannon
Title
Executive Vice President
Phone
(310) 679-9126

Corporate family (same tax ID) 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

National Provider Directory

Tax ID family
Behavioral Health Services Incorporated (41 organizations share this tax ID)

Locations

12917 Cerise Ave
Hawthorne, CA 90250
Phone (310) 675-4431

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190007FN CA Yes

Addresses

Primary practice location

12917 Cerise Ave
Hawthorne, CA 90250-5520

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone (310) 679-9126

Other identifiers

IdentifierTypeStateIssuer
190007FNOtherCADRUG AND ALCOHOL LICENSE

Other names

  • Patterns Doing business as

Other providers in Hawthorne, CA

All providers in Hawthorne, CA · Substance Abuse Rehabilitation Facility in California

Sources for this page

Verify at the official NPI Registry.