| NPI | 1619693165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO RIVERA SANTIAGO Owner/Psychologist 787-640-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-26 |