| NPI | 1134115587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ELIAS LUGO Director 787-766-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PR 3) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: PR 3) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-22 |