| NPI | 1003188244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES SYBEL DIAZ Clinical Psychologist 787-550-9708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 4105) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |