| NPI | 1528841723 |
|---|---|
| Doing Business As | INTENSIVE AMBULATORY PROGRAM PONCE |
| Entity Type | Organization |
| Authorized Contact | JASON MORALES VP Fo Regulatory Affairs 787-641-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-10-12 |