Organization
EUREKA MENTAL HEALTH & WELLNES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA MARIA MEDINA PH.D. (DHIEF EXECUTIVE OFFICER)
(787) 427-4722
Entity
Organization
Contact information
Practice address
PR-4494 KM 2.6, PLAZA CAMUY BUILDING, CAMUY, PR 00627
(787) 427-4722
(787) 854-0650
Mailing address
PO BOX 30500, PMB 247, MANATI, PR 00674
(787) 427-4722
(787) 854-0650
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
005177
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
005177
PR
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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