| NPI | 1659763159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO BLANCO CEO 787-906-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PR 004727) |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2015-02-21 |