| NPI | 1114129889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS J PACHECO Administrative Director 787-794-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PR CDTD0174) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |