| NPI | 1548891443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKYA O'SHAUGHNESSEY Program Director 323-632-9718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-02-03 |