| NPI | 1083630156 |
|---|---|
| Doing Business As | CLINICAL SUPPORT GROUP INC |
| Entity Type | Organization |
| Authorized Contact | ALICE RUSCALLEDA CEO 787-768-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 1041C0700X Social Worker, Clinical (Licence: PR 9140) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-01-15 |