| NPI | 1306175500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ENID FIGUEROA SANTOS Presidente 939-244-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2020-02-13 |