| NPI | 1568462117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX GONZALEZ Administrator / PT 787-862-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: PR 11945) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |