| NPI | 1225866882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA RHIAN Authorized Official 424-430-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-10-16 |