| NPI | 1619217841 |
|---|---|
| Other Name | HILLSIDES SUPPORT SERVICES CENTER |
| Entity Type | Organization |
| Authorized Contact | STACEY ROTH Chief Executive Officer 323-254-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2021-01-05 |