| NPI | 1598363954 |
|---|---|
| Doing Business As | TEEN CHALLENGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | OLGA J GOMEZ RIVERA Revenue Cycle Manager 787-632-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208D00000X General Practice | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2021-08-06 |