| NPI | 1780526848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER FERNANDO RODRIGUEZ CARDONA Owner 737-808-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 363A00000X Physician Assistant | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0004X Psychologist, Health | |
| 103TF0000X Psychologist, Family | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2026-04-08 |
| Last Update Date | 2026-05-22 |