| NPI | 1750592317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO VARGAS Executive Director 787-250-8629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: PR 07B0282) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: PR BH8756314) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PR BH8756299) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |