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 Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-14 |
Last Update Date | 2023-10-12 |