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Organization
HILLSIDES
Active
Organization
HILLSIDES
Active
Parent organization
HILLSIDES
Other names
Hillsides Family Resource Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HILLSIDES
Authorized official
STACEY ROTH LCSW (CHIEF EXECUTIVE OFFICER)
(323) 543-2800
Entity
Organization
Contact information
Practice address
149 PASADENA AVE STE A, SOUTH PASADENA, CA 91030-3351
(323) 254-2274
Mailing address
149 PASADENA AVE STE A, SOUTH PASADENA, CA 91030-3351
(323) 274-3065
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
01/04/2021
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