| NPI | 1033423538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER SHAW ROSENSTOCK Psychologist 310-949-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA PSY22454) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |