| NPI | 1609604370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN I RODRIGUEZ President 939-633-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-09-10 |