| NPI | 1588796734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETSIE IVELISSE CALDERON-VIGO Psychologist 787-344-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |