| NPI | 1255669974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO MEDINA President 787-384-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |