Provider Demographics
NPI:1235259409
Name:HILLVIEW MENTAL HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:HILLVIEW MENTAL HEALTH CENTER, INC.
Other - Org Name:HILLVIEW MHC ADULT RESIDENTIAL
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE VP/CFO
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-896-1161
Mailing Address - Street 1:12450 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-1391
Mailing Address - Country:US
Mailing Address - Phone:818-896-1161
Mailing Address - Fax:818-896-5069
Practice Address - Street 1:12408 VAN NUYS BLVD
Practice Address - Street 2:BUILDING C
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-1313
Practice Address - Country:US
Practice Address - Phone:818-896-1161
Practice Address - Fax:818-896-5069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6758OtherADULT RESIDENTIAL