| NPI | 1508983776 |
|---|---|
| Other Name | HILLSIDES FRC EP |
| Entity Type | Organization |
| Authorized Contact | MARISOL LARA Qa Coordinator 323-543-2800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-03-29 |