| NPI | 1376955666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANA M BARRON Clinical Director 787-552-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PR 5393) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PR 5601) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |