| Prototypes Obhs Pomona | |
|
831 E Arrow Hwy Pomona CA 91767-2535 | |
| (909) 398-4383 | |
| Not Available |
| Full Name | Prototypes Obhs Pomona |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 831 E Arrow Hwy, Pomona, California |
| Authorized Official Name and Position | Vitka Eisen (PRESIDENT AND CEO) |
| Authorized Official Contact | 2135423838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prototypes Obhs Pomona 1563 Mission St Fl 4 San Francisco CA 94103-2543 Ph: () - | Prototypes Obhs Pomona 831 E Arrow Hwy Pomona CA 91767-2535 Ph: (909) 398-4383 |
| NPI Number | 1386195196 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 08/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386195196 | NPI | - | NPPES |
| EO633A | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Prototypes Centers For Innovation In Health, Mental Health And Social Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 831 E Arrow Hwy, Pomona, CA 91767 Phone: 909-398-4383 Fax: 909-398-0127 | |
Lewis Garcia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2335 S Towne Ave, Pomona, CA 91766 Phone: 909-628-6024 Fax: 909-591-0397 | |
Pomona Alcohol & Drug Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 N Park Ave, Pomona, CA 91768 Phone: 909-622-2273 | |
Pomona Alcohol & Drug Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1921 Arroyo Ave, Pomona, CA 91768 Phone: 909-622-2273 Fax: 909-622-6334 | |
Park West High School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 E Holt Ave # 430, Pomona, CA 91767 Phone: 323-295-1136 Fax: 323-295-1071 | |
Open Arms Mens Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Franklin Ave, Pomona, CA 91766 Phone: 323-755-2742 Fax: 310-876-0533 | |
Palomares Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 N Orange Grove Ave, Pomona, CA 91767 Phone: 323-295-1136 Fax: 323-195-1136 |