| NPI | 1205619327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE PESQUERA VP Of Regulatory Affairs 787-641-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |