OrganizationActive
Behavioral Health Services
NPI 1619008380 · Substance Abuse Rehabilitation Facility · Hawthorne, CA
Provider details
- NPI number
- 1619008380
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Teri Cannon, Executive Vice President(310) 679-9126
- License
- 190007FN (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
12917 Cerise Ave
Hawthorne, CA 90250-5520
Phone: (310) 675-4431
Fax: (310) 675-4434
Street-level locationGet directions
Mailing address
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Other names (DBA / former)
- Doing business as
- Patterns
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.