| NPI | 1669506291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ELIAS LUGO Supervisor 787-766-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |