| NPI | 1851695241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A DE LEON Psicologo Clinico 787-207-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: PR 1311) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: PR 1311) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: PR 1311) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |