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Organization

PROTOTYPES WOMENS CENTER OUTPATIENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIM A FRANKLIN (COUNSELORCASEMANAGER)
(909) 591-7251
Entity
Organization

Contact information

Practice address
6339 MANUEL CT, CHINO, CA 91710-4628
(909) 591-7251
Mailing address
6339 MANUEL CT, CHINO, CA 91710-4628
(909) 591-7251

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CA
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
06/26/2007
Last updated
09/11/2025
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