Organization
KIDS THERAPY AND SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANNETTE NEGRON (PRESIDENT)
(787) 316-5082
Entity
Organization
Contact information
Practice address
ILLA CAROLINA 4TA EXTENSION. C/401 BLOQ 139 #10., CAROLINA, PR 00985
(787) 316-5082
Mailing address
PO BOX 143172, ARECIBO, PR 00614-3172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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