| NPI | 1508625849 |
|---|---|
| Former Legal Business Name | CASILLAS PSYCHOLOGICAL SERVICES LLC |
| Doing Business As | CASILLAS PSYCHOLOGICAL SERVICES LLC |
| Other Name | CASILLAS PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | GRETCHEN NICOLE CASILLAS CANALES Psychologist 787-248-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-10-23 |