| NPI | 1144840323 |
|---|---|
| Former Legal Business Name | FBC MENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | FRANK HERNAND BENITEZ CRUZ President 787-949-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |