| NPI | 1114388691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO M VARELA Presidente 787-704-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PR CB0778) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |