NPI | 1043898935 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA MADSEN FISHBACK Psychotherapist 831-236-5801 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2021-03-31 |
Last Update Date | 2021-03-31 |