NPI | 1780373704 |
---|---|
Entity Type | Organization |
Authorized Contact | MADDISON MARIE MONTANA Therapist/Practice Owner 831-566-7732 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2023-05-04 |
Last Update Date | 2023-05-04 |