# M&D COMMUNITY MENTAL HEALTH CENTER

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

## Provider details

- **NPI number:** 1770795585
- **Authorized official:** ANN M FOURNIER (FACTURADORA)
- **Authorized official phone:** (787) 690-1126

## Contact information

- **Practice address:** CALLE TOUS SOTO SUR 150, SAN LORE, PR 00754
- **Practice address phone:** (787) 736-3200
- **Mailing address:** P O BOX 11021, SAN JUAN, PR 00910-1021
- **Mailing address phone:** (787) 690-1126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020