Organization
HEALTHRIGHT 360
Active
Other names
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
Organization subpart
No
Provider details
NPI number
Authorized official
VITKA EISEN (PRESIDENT AND CEO)
(213) 542-3838
Entity
Organization
Contact information
Practice address
15405 LANSDOWNE RD, TUSTIN, CA 92782-0200
(714) 566-2804
Mailing address
1563 MISSION ST FL 4, SAN FRANCISCO, CA 94103-2543
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300227AN
DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS LICENSE
CA
Enumeration date
02/05/2014
Last updated
08/22/2017
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