| 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 |