| NPI | 1972189298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO RODRIGUEZ NIEVES Administrador 787-360-9657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 103TS0200X Psychologist, School | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |