NPI | 1700324092 |
---|---|
Entity Type | Organization |
Authorized Contact | VANNESSA PAGAN President 1787-400-5436 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 14054) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |