| NPI | 1033890348 |
|---|---|
| Former Legal Business Name | SEPULVEDA PSYCHOLOGICAL CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | CARMEN I SEPULVEDA Owner 787-381-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-04-17 |