| NPI | 1902256456 |
|---|---|
| Other Name | CSMDO |
| Entity Type | Organization |
| Authorized Contact | THAIZ RIVERA Psychologist 787-517-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |