| NPI | 1508307596 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SUHEIDI MEDINA-MERCADO Owner 787-449-4128  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PR 5826)  | 
| Enumeration Date | 2017-03-10 | 
| Last Update Date | 2017-03-10 |