| NPI | 1184256109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL-ROY TAYLOR President 323-366-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-07-25 |