Organization
HILLSDALE TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NICCOLE (MEMBER)
(949) 279-1165
Entity
Organization
Contact information
Practice address
2215 MESA DR, OCEANSIDE, CA 92054-3707
(949) 635-4437
Mailing address
220 NEWPORT CENTER DR # 11-583, NEWPORT BEACH, CA 92660-7506
(949) 635-4437
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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