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Organization
PROTOTYPES CENTERS FOR INNOVATION - HEALTH, MH, & SOCIAL SERVICES
Active
Organization
PROTOTYPES CENTERS FOR INNOVATION - HEALTH, MH, & SOCIAL SERVICES
Active
Other names
PROTOTYPES Centers - Health, MH, & Social Services
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA LOCH LCSW, MBA (PRESIDENT, CEO)
(213) 542-3838
Entity
Organization
Contact information
Practice address
1890 N GAREY AVE, POMONA, CA 91767-2923
(909) 629-2400
(909) 629-2445
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
Enumeration date
12/06/2007
Last updated
11/30/2010
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