| Foothill Family - Prototypes | |
|
2500 E Foothill Blvd Pasadena CA 91107-3464 | |
| (626) 564-1613 | |
| (626) 564-1651 |
| Full Name | Foothill Family - Prototypes |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2500 E Foothill Blvd, Pasadena, California |
| Authorized Official Name and Position | Christopher Scott Howard (IT DIRECTOR) |
| Authorized Official Contact | 6269933033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Family - Prototypes 2500 E Foothill Blvd Suite 300 Pasadena CA 91107-3464 Ph: (626) 993-3000 | Foothill Family - Prototypes 2500 E Foothill Blvd Pasadena CA 91107-3464 Ph: (626) 564-1613 |
| NPI Number | 1386824100 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 06/18/2020 |
| Certification Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386824100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Acro Consultancy Services A Psychological Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 E Foothill Blvd Ste 406, Pasadena, CA 91107 Phone: 626-538-5531 | |
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