NPIMap

Organization Active NPI

Behavioral Health Services Inc.

Doing business as Wilmington Community Recovery Center

  • Community/Behavioral Health Agency
  • Wilmington, CA
National Provider Identifier
1891825667
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190007CN Issued in CA
Legal business name
BEHAVIORAL HEALTH SERVICES INC.
Doing business as
Wilmington Community Recovery Center
Practice address
1318 N Avalon Blvd
Suite 1318a & 1314B
Wilmington, CA 90744-2639
Phone
(310) 549-2710
Fax
(310) 549-2715
NPI assigned
Mar 7, 2007
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Teri Cannon
Title
Chief Compliance Officer
Phone
(310) 679-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190007CN CA Primary

Addresses

Primary practice location

1318 N Avalon Blvd
Suite 1318a & 1314B
Wilmington, CA 90744-2639

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
190007CNOtherCAALCOHOL DRUG CERTIFICATIO

Other names 1

  • Wilmington Community Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bhehavioral Health Services41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

1318 N Avalon Blvd
Ste 1318A
Wilmington, CA 90744
Phone (310) 549-2710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1891825667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494525",
            "telephone_number": "310-679-9126",
            "fax_number": "310-679-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 N AVALON BLVD",
            "address_2": "SUITE 1318A & 1314B",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442639",
            "telephone_number": "310-549-2710",
            "fax_number": "310-549-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "310-679-9126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190007CN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL DRUG CERTIFICATIO",
            "identifier": "190007CN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Community Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.