NPI | 1255749396 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINO CRUZ CEO 787-614-3006 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: PR 9855) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2014-07-31 |