# CENTRO INTERDISCIPLINARIO DE TERAPIA Y AYUDA DEL SUR, INC.

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

## Provider details

- **NPI number:** 1629235858
- **Authorized official:** MRS. JAMYLAH ESCOBAR MA (PSYCHOLOGY)
- **Authorized official phone:** (939) 940-8180

## Contact information

- **Practice address:** H-14 CALLE 4, LA QUINTA, YAUCO, PR 00698
- **Practice address phone:** (939) 940-8180
- **Mailing address:** H-14 CALLE 4, LA QUINTA, YAUCO, PR 00698
- **Mailing address phone:** (939) 940-8180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 4060968 | PR | Yes |

## Other

- **Enumeration date:** 05/16/2008
- **Last updated:** 05/16/2008