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SOUTH BAY FAMILY RECOVERY CENTER
NPI 1407984800
Community/Behavioral Health in Gardena, CA

Active since February 28, 2007
15519 CRENSHAW BLVD, GARDENA, CA 90249(310) 679-9031(310) 679-9034 Get Directions Write a Review

NPPES record last updated: June 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Bay Family Recovery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BAY FAMILY RECOVERY CENTER (NPI 1407984800) is a healthcare organization registered as a community/behavioral health in Gardena, California and active in the NPI registry since February 2007. The organization lists Theresa Lynn Cannon, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1407984800
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBEHAVIORAL HEALTH SERVICES, INC.
Location Address15519 CRENSHAW BLVDGardena, CA 90249-4525
Mailing Address15519 Crenshaw BlvdGardena, CA 90249-4525 · (310) 679-9126 · Fax (310) 679-2920
Phone(310) 679-9031
Fax(310) 679-9034
Organization SubpartNo
Authorized OfficialTheresa Lynn CannonChief Compliance Officer · (310) 679-9126
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJune 7, 2010
✔ NPI 1407984800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 190007HN
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
15519 CRENSHAW BLVD, Gardena, CA 90249
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Other Names 1

Doing Business AsSouth Bay Family Recovery Center

Other Identifiers 1

Medicaid190007HNCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANDRE DICKERSON
Peer Specialist
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-2730
MS. CELIA MARIE ARAGON
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
KERI LI LAWRENCE
Social Worker
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
CHERISE STEPHENS
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
REGINA LORRAINE SANCHEZ SUDRC21439
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9031
KERRY DEENEY
Social Worker (Clinical)
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 363-3661
ADRIANA PASCACIO
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (310) 679-9126
CRYSTAL LYNN MCGHEE
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
Los Angeles County (562) 218-8387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Behavioral Health Services, Inc.'s NPI number?

The NPI number for Behavioral Health Services, Inc. is 1407984800. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as South Bay Family Recovery Center.

Where is Behavioral Health Services, Inc. located?

Behavioral Health Services, Inc. is located at 15519 Crenshaw Blvd, Gardena, CA 90249. The listed phone number is (310) 679-9031.

What is Behavioral Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Behavioral Health Services, Inc. was last updated on June 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.