| NPI | 1235013624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABISAIL YADIEL CRESPO-RIOS President 787-201-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TH0100X Psychologist, Health Service | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-11-03 |