| NPI | 1336194448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MORALES VP Regulatory Affairs 787-641-0774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-12-18 |