| NPI | 1902083504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO R HALLEY President 787-891-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 2610) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2002) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |