| NPI | 1073939179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDANES SOTO President 787-650-3711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2019-02-25 |