NPI | 1679190474 |
---|---|
Doing Business As | APS CHILD AND ADOLESCENCE CLINIC SAN JUAN |
Entity Type | Organization |
Authorized Contact | JASON MORALES VP Regulatory Affairs 787-641-0774 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |