| NPI | 1083443543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA DAY KRUG Owner/Provider 831-332-5845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |