| 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 |