| NPI | 1548621337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUARALI REYES AVILES Fhc Gove RN Ment Health Plan 787-622-9797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-08-02 |