| NPI | 1265668214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA I MEDINA Clinic Director 787-892-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PR 1879) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-19 |