| NPI | 1639613821 |
|---|---|
| Other Name | HILLSIDES OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | STACEY ROTH President/CEO 323-254-2274 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2022-11-02 |