| NPI | 1407242191 |
|---|---|
| Professional Name | RODNEY SAM REYES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 28646) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2024-10-22 |