| NPI | 1811372956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YARITZA M. COLON President 939-644-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: PR 3994) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2021-05-04 |