NPI | 1639613821 |
---|---|
Other Name | HILLSIDES OUTPATIENT |
Other Name | RESIDENTIAL |
Entity Type | Organization |
Authorized Contact | MARISOL M LARA Qa Manager Administration 323-254-2274 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2025-02-10 |