Provider Demographics
NPI:1023372885
Name:BHS BEHAVIORAL HEALTH NETWORK, INC
Entity Type:Organization
Organization Name:BHS BEHAVIORAL HEALTH NETWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENCERINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-834-5654
Mailing Address - Street 1:17100 PIONEER BLVD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90701-2776
Mailing Address - Country:US
Mailing Address - Phone:855-834-5654
Mailing Address - Fax:
Practice Address - Street 1:17100 PIONEER BLVD
Practice Address - Street 2:SUITE 420
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90701-2776
Practice Address - Country:US
Practice Address - Phone:855-834-5654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty