NPI | 1346593639 |
---|---|
Doing Business As | SOLE PROPIERTOR |
Entity Type | Organization |
Authorized Contact | LESBIA BETANCOURT Clinical Social Work/Clinician 787-963-0171 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 3906) |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: PR 3906) |
Enumeration Date | 2012-10-24 |
Last Update Date | 2012-10-24 |