| NPI | 1750940094 |
|---|---|
| Former Legal Business Name | CASA LA PROVIDENCIA |
| Entity Type | Organization |
| Authorized Contact | JONATHAN ECHEVARRIA Clinical Psychologist 787-725-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |