| NPI | 1699135129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA K RODRIGUEZ President 225-205-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 598524) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |