Organization
HILLSIDE MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON GIRSKIS (BUSINESS OPERATION SPECIALIST)
(949) 359-8273
Entity
Organization
Contact information
Practice address
23371 ROCKROSE, MISSION VIEJO, CA 92692-1686
(949) 518-3468
Mailing address
PO BOX 5259, SAN CLEMENTE, CA 92674-5259
(949) 625-0376
(949) 390-9899
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014AP
—
CA
Enumeration date
03/31/2017
Last updated
10/19/2020
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