| Hillsides Frc Palmdale | |
|
1020 E Palmdale Blvd Ste 200a Palmdale CA 93550-4756 | |
| (661) 678-1914 | |
| Not Available |
| Full Name | Hillsides Frc Palmdale |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1020 E Palmdale Blvd Ste 200a, Palmdale, California |
| Authorized Official Name and Position | Stacey Roth (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3235432800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillsides Frc Palmdale 1020 E Palmdale Blvd Ste 200a Palmdale CA 93550-4756 Ph: () - | Hillsides Frc Palmdale 1020 E Palmdale Blvd Ste 200a Palmdale CA 93550-4756 Ph: (661) 678-1914 |
| NPI Number | 1285289801 |
|---|---|
| Provider Enumeration Date | 08/09/2019 |
| Last Update Date | 01/04/2021 |
| Certification Date | 01/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285289801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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