Organization
HEALTHRIGHT 360
Active
Other names
PROTOTYPES
Organization subpart
No
Provider details
NPI number
Authorized official
VITKA EISEN (PRESIDENT AND CEO)
(213) 542-3838
Entity
Organization
Contact information
Practice address
6109 AFTON PL, LOS ANGELES, CA 90028-8313
(323) 464-6281
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
—
190101DN
DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS LICENSE
CA
Enumeration date
03/07/2014
Last updated
08/22/2017
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