NPI | 1659822468 |
---|---|
Other Name | PROTOTYPES OBHS WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | VITKA EISEN President And CEO 213-542-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2016-10-17 |
Last Update Date | 2017-08-22 |