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 |