| NPI | 1619623683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN L OMS Mgr 787-317-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TC0700X Psychologist Clinical | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 103TS0200X Psychologist School | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2024-09-11 |