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General NPI Number Information
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NPI Number | 1316733389
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Entity Type | Organization
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Legal Business Name | HILLSIDE HORIZON FOR TEENS LLC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 27800 MOUNT SHASTA WAY
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City | YORBA LINDA
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State | CA
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Zip | 92887-4241
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Country | US
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Telephone | 949-239-9567
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Fax |
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Provider Business Mailing Address
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Address Line | 24195 JUANITA DR
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City | MENIFEE
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State | CA
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Zip | 92587-9294
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | NICHOLAS BEETS
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Credential |
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Telephone | 949-933-1931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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