NPI | 1508586512 |
---|---|
Doing Business As | INTENSIVE AMBULATORY PROGRAM AGUADILLA |
Entity Type | Organization |
Authorized Contact | JASON MORALES VP Of Regulatory Affairs 787-641-0774 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-08-30 |
Last Update Date | 2022-08-30 |