| 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 |