Organization Name: | CENTRO DE CONSEJERIA ABRIENDO PUERTAS |
NPI Number: | 1003232620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALAN J GIERBOLINI (ADMINISTRADOR Y COORDINADOR) |
Mailing Address: | Ave. Roberto Clemente Blq 132 #13 Villa Carolina Carolina |
State: | PR US |
Postal Code: | 00985 |
Phone Number: | 7879251465 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2014 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |