Organization
HILLSIDES
Active
Parent organization
HILLSIDES
Other names
Bienvenidos Family Resource Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HILLSIDES
Authorized official
MARISOL M LARA (QA MANAGER ADMINISTRATOR)
(323) 254-2274
Entity
Organization
Contact information
Practice address
5400 E. OLYMPIC BLVD SUITE 100, COMMERCE, CA 90022-5190
(213) 785-5906
(213) 785-5928
Mailing address
5400 E. OLYMPIC BLVD SUITE 100, COMMERCE, CA 90022-5190
(213) 785-5906
(213) 785-5928
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
11/06/2024
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