| NPI | 1508115163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY PELLOT Director 787-819-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 1925) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |