Organization
CENTRO ETAAA CORPORATION
Active
Parent organization
CENTRO ETAAA CORPORATION
Other names
CENTRO ETAAA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO ETAAA CORPORATION
Authorized official
MRS. SENIA MARQUEZ CANDELARIO MSW (TRABAJO SOCIAL CLINICO)
(787) 614-2523
Entity
Organization
Contact information
Practice address
PORTAL DE LA REINA 78, CALLE REINA, SANTA ISABEL, PR 00757-2452
(939) 280-9326
Mailing address
PORTAL DE LA REINA 78, CALLE REINA, SANTA ISABEL, PR 00757-2452
(787) 614-2523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
08/24/2022
Last updated
08/17/2023
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