Organization
CLINICA PSICOSOCIAL CONSTRUYENDO CAMINOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARISEL RODRIGUEZ MCSW, CATVI (DIRECTOR)
(939) 257-3471
Entity
Organization
Contact information
Practice address
60 CALLE CELIS AGUILERA STE 5, SANTA ISABEL, PR 00757-2522
(939) 257-3471
Mailing address
60 CALLE CELIS AGUILERA STE 5, SANTA ISABEL, PR 00757-2522
(939) 257-3471
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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