NPI | 1063293124 |
---|---|
Doing Business As | INTENSIVE AMBULATORY PROGRAM BAYAMON |
Entity Type | Organization |
Authorized Contact | JASON MORALES VP Of Regulatory Affairs 787-641-0774 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-10-13 |
Last Update Date | 2023-10-13 |