| NPI | 1861158156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGO L ACOSTA President/ Clinical Social Worker 787-557-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2022-11-01 |