| 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 |