Provider Demographics
NPI:1073122115
Name:RESCUE THE WORLD
Entity Type:Organization
Organization Name:RESCUE THE WORLD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:NGOMBE
Authorized Official - Middle Name:
Authorized Official - Last Name:BITENDELO
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:202-621-4928
Mailing Address - Street 1:24200 SOUTHWEST FWY STE 356
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-5985
Mailing Address - Country:US
Mailing Address - Phone:281-725-6434
Mailing Address - Fax:281-990-6446
Practice Address - Street 1:24200 SOUTHWEST FWY STE 356
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5985
Practice Address - Country:US
Practice Address - Phone:281-725-6434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty