Organization · Type 2 NPI
Behavioral Health Services South Bay Family Recovery Center
Addiction (Substance Use Disorder) Counselor · Gardena, CA
NPI number
1275877151
Active
Practice location
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Fax (310) 679-9034
Mailing address
15519 Crenshaw Blvd.
Gardena, CA 90249-4597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | RI-P0804221503 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1275877151
Behavioral Health Services South Bay Family Recovery Center's National Provider Identifier is 1275877151, issued on Nov 16, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gardena, CA. The record was last updated on Nov 16, 2012.