| NPI | 1730887035 |
|---|---|
| Doing Business As | INTENSIVE AMBULATORY PROGRAM CIDRA |
| Entity Type | Organization |
| Authorized Contact | JASON MORALES VP Of Regulatory Affairs 787-641-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |