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
CASSANDRA LOCH LCSW, MBA (PRESIDENT, CEO)
(213) 542-3838
Entity
Organization
Contact information
Practice address
40 N ALTADENA DR, SUITE 1B, PASADENA, CA 91107-3386
(626) 792-2812
(626) 356-4438
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
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7370V
LOS ANGELES COUNTY DMH
CA
Enumeration date
11/19/2010
Last updated
03/09/2011
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