NPI | 1548686058 |
---|---|
Former Legal Business Name | PROTOTYPES |
Entity Type | Organization |
Authorized Contact | VITKA EISEN President And CEO 213-542-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2014-03-07 |
Last Update Date | 2017-08-22 |