| NPI | 1114676376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWILDA M BROCO Chief Executive Officer 787-622-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |