| NPI | 1508594276 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANITA RAQUEL PADILLA President 361-453-6990 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2022-08-10 | 
| Last Update Date | 2023-06-07 |