| Behavioral Health Services Inc. | |
|
2015 W 1st St Ste L Santa Ana CA 92703-3516 | |
| (949) 245-1001 | |
| Not Available |
| Full Name | Behavioral Health Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2015 W 1st St Ste L, Santa Ana, California |
| Authorized Official Name and Position | Shirley Ann Summers (PRESIDENT/CEO) |
| Authorized Official Contact | 3106799126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Services Inc. 15519 Crenshaw Blvd Gardena CA 90249-4525 Ph: (310) 679-9126 | Behavioral Health Services Inc. 2015 W 1st St Ste L Santa Ana CA 92703-3516 Ph: (949) 245-1001 |
| NPI Number | 1578079919 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 12/21/2017 |
| Medicare PECOS PAC ID | 8729142146 |
|---|---|
| Medicare Enrollment ID | O20180717000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578079919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 550003493 (California) | Primary |
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