NPI | 1205619327 |
---|---|
Doing Business As | INTENSIVE AMBULATORY PROGRAM CAROLINA |
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 |