NPI | 1326686742 |
---|---|
Former Legal Business Name | EMBAJADORA BY INNOVATION INC |
Entity Type | Organization |
Authorized Contact | INGRIS MALDONADO Presidenta 939-655-7983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
251E00000X Home Health | |
251S00000X Community/Behavioral Health | |
251T00000X PACE Provider Organization | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-12-16 |
Last Update Date | 2019-12-18 |