| NPI | 1770786410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN B AVINO General Nurse Supervisor 1787-786-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PR 15500) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2008-09-30 |