| NPI | 1982372140 |
|---|---|
| Former Legal Business Name | KEYLIVETTE'S THERAPY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | KEYLIVETTE ORENGO President 787-215-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |