Organization
HOGAR DIVINO NINO JESUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS J PACHECO (ADMINISTRATIVE DIRECTOR)
(787) 794-0020
Entity
Organization
Contact information
Practice address
CARRETERA 854 KM 3.5, TOA BAJA, PR 00951
(787) 794-0020
(787) 794-3792
Mailing address
P O BOX 2464, TOA BAJA, PR 00951-2662
(787) 794-0020
(787) 794-3792
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
CDTD0174
PR
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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