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Organization
WELL&LEAN LLC
Active
Organization
WELL&LEAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE E. DOMINGUEZ M.A. (EXECUTIVE DIRECTOR)
(787) 946-4501
Entity
Organization
Contact information
Practice address
465 AVE HOSTOS, URB EL VEDADO, SAN JUAN, PR 00918-3014
(787) 946-4501
(787) 946-3501
Mailing address
PO BOX 191147, SAN JUAN, PR 00919-1147
(787) 946-4501
(787) 946-3501
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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