Organization · Type 2 NPI
Centro Ambulatorio de Desintoxicacion Y Enlace de Pr, Inc.
Addiction (Substance Use Disorder) Counselor · Ponce, PR
NPI number
1790087609
Active
Practice location
Atocha 120
Ponce, PR 00731
Mailing address
PO Box 2000 Pmb 10
Mercedita, PR 00717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LOC-15-62-0004 (PR) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC-15-62-0034 (PR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1790087609
Centro Ambulatorio de Desintoxicacion Y Enlace de Pr, Inc.'s National Provider Identifier is 1790087609, issued on Nov 29, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ponce, PR. The record was last updated on Nov 29, 2010.