Organization
HILLSIDES
Active
Other names
Hillsides STRTP LA
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ROTH LSCW (PRESIDENT/CEO)
(323) 254-2274
Entity
Organization
Contact information
Practice address
940 N AVENUE 65, LOS ANGELES, CA 90042-1542
(323) 254-2274
Mailing address
940 N AVENUE 65, LOS ANGELES, CA 90042-1542
(323) 254-2274
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/31/2022
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