| NPI | 1902541758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NIEVES HERNANDEZ Presidente 939-244-7013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-08-24 |