| NPI | 1457991614 |
|---|---|
| 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 | 2020-01-15 |
| Last Update Date | 2020-01-15 |