| NPI | 1699432567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARAMIL RIVERA TORRES President 939-460-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 133N00000X Nutritionist | |
| 208000000X Pediatrics | |
| 221700000X Art Therapist | |
| 226000000X Recreational Therapist Assistant | |
| 246Q00000X Spec/Tech, Pathology | |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2021-11-26 |