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Organization

HILLSIDES

Active
Parent organization
HILLSIDES
Other names
Bienvenidos Village
Organization subpart
Yes

Provider details

NPI number
Legal business name
HILLSIDES
Authorized official
STACEY ROTH LCSW (CEO)
(323) 254-2274
Entity
Organization

Contact information

Practice address
13001 RAMONA BLVD., SUITE A, IRWINDALE, CA 91706-3752
(323) 274-3075
(626) 798-7899
Mailing address
13001 RAMONA BLVD., SUITE A, IRWINDALE, CA 91706-3752
(626) 373-2900
(626) 798-7899

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
12/13/2016
Last updated
02/07/2023
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