# ASSMCA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215207865
- **Authorized official:** DR. NOE BARBOT I (SUPERVISOR)
- **Authorized official phone:** (787) 878-8038

## Contact information

- **Practice address:** 639 AVE SAN LUIS, ARECIBO, PR 00612-3666
- **Practice address phone:** (787) 878-8038
- **Mailing address:** 7 TH STREET B-20 URB. CORALES, HATILLO, PUERTO RICO 00659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 28641 | PR | Yes |

## Other

- **Enumeration date:** 01/12/2012
- **Last updated:** 01/12/2012