Organization Name: | IFDECH |
NPI Number: | 1659644250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAIME GALARZA SIERRA (CONSEJERO PASTORAL) |
Mailing Address: | Barrio Consejo Bajo Carretera 377 Interior Guayanilla |
State: | PR US |
Postal Code: | 006563841 |
Phone Number: | 7878350550 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2012 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | TPC-3-15-62-4595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |