| NPI | 1255871737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIS MARIE ROSALES Director 787-662-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 5769) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |