Organization
INICIATIVA PSICOEDUCATIVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENDA L VELEZ (PRESIDENT)
(787) 632-1179
Entity
Organization
Contact information
Practice address
CALLE CARRION MADURO #23 NORTE, COAMO, PR 00769
(787) 632-1179
Mailing address
PASEO JACARANDA, 15422 CALLE FLAMBOYAN, SANTA ISABEL, PR 00757-9621
(787) 632-1179
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2158
PR
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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