CLARK TAYLOR

STANTON, CA
NPI1023352531
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
-- CLARK TAYLOR
10751 DALE AVE
STANTON, CA 90680-2604
Phone number: 714-821-5311
Mailing Address
-- CLARK TAYLOR
10751 DALE AVE
STANTON, CA 90680-2604
Phone number: 714-821-5311