Organization
HILLSIDES
Active
Parent organization
HILLSIDES
Other names
Residential, Hillsides Outpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
HILLSIDES
Authorized official
MARISOL M LARA (QA MANAGER ADMINISTRATION)
(323) 254-2274
Entity
Organization
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
02/10/2025
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