| NPI | 1669757126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS RIVERA Presidente 787-645-5413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PR 55762) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PR 3111) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |