| NPI | 1174837108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALKY I RIVERA Owner 787-515-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PR 3482) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |