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Organization
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
Active
Organization
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
Active
Other names
Prototypes Centers for Innovation in Health, Mental Health and Social
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA LOCH LCSW, MBA (PRESIDENT, CEO)
(213) 542-3838
Entity
Organization
Contact information
Practice address
831 E ARROW HWY, POMONA, CA 91767-2535
(909) 398-4383
(909) 398-0127
Mailing address
1000 N ALAMEDA ST, SUITE 390, LOS ANGELES, CA 90012-1804
(213) 542-3838
(213) 225-0085
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7568A
LA COUNTY DMH
CA
01
—
7569A
LA COUNTY DMH
CA
Enumeration date
03/21/2007
Last updated
04/27/2011
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