Prototypes Outpatient Services in Pomona - Community/behavioral Health
Prototypes Outpatient Services - NPI 1659575678
Prototypes Outpatient Services is a Community/behavioral Health in Pomona, California. Prototypes Outpatient Services practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Prototypes Outpatient Services is 1659575678. The last update date is 2022-07-21.
Prototypes Outpatient Services's current location address is 831 E Arrow Hwy, Pomona, California. You can contact this provider via phone number 9093984383 and fax number 9093980127. The mailing address for Prototypes Outpatient Services is 831 E Arrow Hwy, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prototypes Outpatient Services |
|---|---|
| Address | 831 E Arrow Hwy, Pomona, California |
| Phone Number | 9093984383 |
| Fax Number | 9093980127 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Latta-Clark Carolyn |
| Telephone Number | 9093984383 |
NPI Number Detail
| NPI Number | 1659575678 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 831 E Arrow Hwy |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917672535 |
| Phone Number | 9093984383 |
| Fax Number | 9093980127 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique provider identifier assigned to Prototypes Outpatient Services?
The Prototypes Outpatient Services has been issued the NPI (National Provider Identifier) 1659575678 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Prototypes Outpatient Services's facilities are situated?
The facilities of Prototypes Outpatient Services are physically located at the following address: 831 E Arrow Hwy, Pomona, CA, 917672535.
What is the Prototypes Outpatient Services's specialty and taxonomy code?
The Prototypes Outpatient Services's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659575678 to Prototypes Outpatient Services?
The Centers for Medicare & Medicaid Services originally issued the 1659575678 to Prototypes Outpatient Services on 2007-06-13.
As of what date were the details pertaining to Prototypes Outpatient Services last refreshed?
The information related to the Prototypes Outpatient Services, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
NPI Number: 1275535502
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