| 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 | |
| 251T00000X PACE Provider Organization | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-18 |