| NPI | 1053508267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DE LOS ANGELES DE JESUS GARCIA President 787-884-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PR 1136) |
| Additional Taxonomies | 261QM0801X (Licence: PR 1136) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-04-20 |