| NPI | 1194875187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE OMAR GONZALEZ President 787-768-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 10762) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |