| NPI | 1659629350 |
|---|---|
| Doing Business As | JUANITA RODRIGUEZ, ACCS |
| Entity Type | Organization |
| Authorized Contact | JUANITA MARIE RODRIGUEZ President 308-630-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 20) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |