Organization Name: | ALIANZA PSICOSOCIAL DE PUERTO RICO, INC. |
NPI Number: | 1447549209 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANUEL A COSME (PRESIDENTE) |
Mailing Address: | Residencial Yuquiyu Carretera Pr 187 Km. 11.1 Loiza |
State: | PR US |
Postal Code: | 007721863 |
Phone Number: | 7876855074 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2011 |
NPI Last Update Date: | 04/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | 0444 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |