Prototypes Womens Center Outpatient in Chino - Community Based Residential Treatment Facility, Mental Illness
Prototypes Womens Center Outpatient - NPI 1942406780
Prototypes Womens Center Outpatient is a Community Based Residential Treatment Facility, Mental Illness in Chino, California. Prototypes Womens Center Outpatient practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Prototypes Womens Center Outpatient is 1942406780. The last update date is 2022-07-21.
Prototypes Womens Center Outpatient's current location address is 6339 Manuel Ct, Chino, California. You can contact this provider via phone number 9095917251. The mailing address for Prototypes Womens Center Outpatient is 6339 Manuel Ct, Chino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prototypes Womens Center Outpatient |
|---|---|
| Address | 6339 Manuel Ct, Chino, California |
| Phone Number | 9095917251 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COUNSELORC |
|---|---|
| Authorized Official Name | Franklin A Kim |
| Telephone Number | 9095917251 |
NPI Number Detail
| NPI Number | 1942406780 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 6339 Manuel Ct |
|---|---|
| City | Chino |
| State | California (CA) |
| Post Code | 917104628 |
| Phone Number | 9095917251 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
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Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique identifier code issued to Prototypes Womens Center Outpatient by the Centers for Medicare & Medicaid Services (CMS)?
The Prototypes Womens Center Outpatient has been assigned the NPI (National Provider Identifier) 1942406780. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Prototypes Womens Center Outpatient?
The Prototypes Womens Center Outpatient is situated at 6339 Manuel Ct, in the city of Chino, state of CA, with the zip code 917104628.
What is the Prototypes Womens Center Outpatient's area of specialization and corresponding taxonomy classification?
The Prototypes Womens Center Outpatient's specialty field is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their specialties.
On what date did the Prototypes Womens Center Outpatient receive the assignment of its 1942406780 from the Centers for Medicare & Medicaid Services?
The Prototypes Womens Center Outpatient was issued its 1942406780 by the Centers for Medicare & Medicaid Services on 2007-06-26.
As of what date were the details related to Prototypes Womens Center Outpatient most recently updated or revised?
The information pertaining to Prototypes Womens Center Outpatient, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC