| NPI | 1902423791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MORALES VP Of Regulatory Affairs 787-641-0774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |