Prototypes Centers For Innovation - Health, Mh, & Social Services in Pomona - Community/behavioral Health
Prototypes Centers For Innovation - Health, Mh, & Social Services - NPI 1861675431
Prototypes Centers For Innovation - Health, Mh, & Social Services is a Community/behavioral Health in Pomona, California. Prototypes Centers For Innovation - Health, Mh, & Social Services practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Prototypes Centers For Innovation - Health, Mh, & Social Services is 1861675431. The last update date is 2010-11-30.
Prototypes Centers For Innovation - Health, Mh, & Social Services's current location address is 1890 N Garey Ave, Pomona, California. You can contact this provider via phone number 9096292400 and fax number 9096292445. The mailing address for Prototypes Centers For Innovation - Health, Mh, & Social Services is 1890 N Garey Ave, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prototypes Centers For Innovation - Health, Mh, & Social Services |
|---|---|
| Address | 1890 N Garey Ave, Pomona, California |
| Phone Number | 9096292400 |
| Fax Number | 9096292445 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT, |
|---|---|
| Authorized Official Name | Loch Cassandra |
| Credentials | LCSW, MBA |
| Telephone Number | 2135423838 |
NPI Number Detail
| NPI Number | 1861675431 |
|---|---|
| Provider Enumeration Date | 2007-12-06 |
| Last Updated Date | 2010-11-30 |
Provider Mailing Address Detail
| Address | 1890 N Garey Ave |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917672923 |
| Phone Number | 9096292400 |
| Fax Number | 9096292445 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7568A | CA | LA COUNTY DMH |
Post Comment/ Review Below
What is the unique identifier code issued to Prototypes Centers For Innovation - Health, Mh, & Social Services by the Centers for Medicare & Medicaid Services?
The Prototypes Centers For Innovation - Health, Mh, & Social Services has been assigned the NPI (National Provider Identifier) 1861675431. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Prototypes Centers For Innovation - Health, Mh, & Social Services's physical address?
The Prototypes Centers For Innovation - Health, Mh, & Social Services is physically located at 1890 N Garey Ave, in the city of Pomona, CA, with the postal code 917672923.
What is the Prototypes Centers For Innovation - Health, Mh, & Social Services's area of specialization and corresponding taxonomy classification?
The Prototypes Centers For Innovation - Health, Mh, & Social Services's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1861675431 to Prototypes Centers For Innovation - Health, Mh, & Social Services?
The Centers for Medicare & Medicaid Services assigned the 1861675431 to Prototypes Centers For Innovation - Health, Mh, & Social Services on 2007-12-06.
As of what date was the information regarding Prototypes Centers For Innovation - Health, Mh, & Social Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Prototypes Centers For Innovation - Health, Mh, & Social Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-30.