| NPI | 1710605845 |
|---|---|
| Other Name | MARISOL RODRIGUEZ |
| Entity Type | Organization |
| Authorized Contact | MARISOL RODRIGUEZ Owner 475-302-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |