| NPI | 1538841622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY PRATER President 361-443-9569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |