NPI | 1750415162 |
---|---|
Other Name | HILLSIDES OUTPATIENT |
Other Name | HILLSIDES 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 | 251S00000X |
Enumeration Date | 2007-03-15 |
Last Update Date | 2025-01-17 |