| NPI | 1215343777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL A. WOODBURY President 787-226-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PR 6363) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PR 6363) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2014-07-05 |