Organization Name: | CAPITAS, INC. |
NPI Number: | 1104128172 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITA JAMES (CLINICAL DIRECTOR) |
Mailing Address: | 113 Calle Antonio R Barc Arecibo |
State: | PR US |
Postal Code: | 006124529 |
Phone Number: | 7878161256 |
Fax Number: | 7878785778 |
NPI Enumeration Date: | 11/24/2010 |
NPI Last Update Date: | 11/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2683 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |