| NPI | 1760846448 |
|---|---|
| Other Name | FHS CIDRA |
| Entity Type | Organization |
| Authorized Contact | HUARALI REYES AVILES Fhs Gove RN Ment Health Plan 787-622-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |