| NPI | 1073243069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO PAGAN-RIVERA CEO 787-486-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-07-18 |