OrganizationActive
Behavioral Health Services, Inc.
NPI 1104568526 · Substance Abuse Rehabilitation Facility · Los Angeles, CA
Provider details
- NPI number
- 1104568526
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Ballue, Chief Compliance Officer(310) 679-9126
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12021 South Wilmington Ave., Bldg #18, Ste 101
Los Angeles, CA 90059-3046
Phone: (424) 454-6001
Fax: (833) 969-0055
Street-level locationGet directions
Mailing address
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Other names (DBA / former)
- Doing business as
- Bhs Respite & Recovery Center at Mlk Campus
- Doing business as
- Bhs Respite & Recovery Center at Mlk Campus
Registry dates
- Enumerated
- 2022-04-07
- Last updated
- 2022-05-02
- Certified
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.