| NPI | 1124269600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALEZ MARCUCCI MYRNA Director Precidente Administrador 787-872-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 54786) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 54786) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2012-02-21 |