| NPI | 1457669475 |
|---|---|
| Former Legal Business Name | PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL |
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN President And CEO 213-542-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 190101AN) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2017-08-22 |