NPI: 1902920176 · SOUTH PASADENA, CA 91030 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 03/16/2007
| Authorized Official | ROTH, STACEY (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | HILLSIDES |
| NPI Enumeration Date | 03/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 34 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 34 | 32 | $3K |