Provider Demographics
NPI:1346562766
Name:WINDSTONE BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:WINDSTONE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRISIS COUSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:310-279-8408
Mailing Address - Street 1:501 ESPLANADE
Mailing Address - Street 2:APT. #105
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-4012
Mailing Address - Country:US
Mailing Address - Phone:310-279-8408
Mailing Address - Fax:
Practice Address - Street 1:1401 S. GRAND AVE.
Practice Address - Street 2:CALIFORNIA HOSPITAL MEDICAL CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015
Practice Address - Country:US
Practice Address - Phone:213-748-2411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital