| NPI | 1184995557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA I. FALCON Social Work 939-579-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: PR 104100000X) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |