| NPI | 1902239114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISSE LOPEZ Psicologa Clinica 787-672-8096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2025-03-07 |