NPI | 1457096588 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH STEVEN SKALE President 310-357-9985 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103T00000X Psychologist |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-05-03 |