| NPI | 1588226963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHLA MEDINA President 787-996-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |