| NPI | 1679965446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE M CRUZ Clinical Psychology 787-516-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 004745) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PR 004745) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PR 004745) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PR 004745) | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |