Organization
EBAO MENTAL HEALTH CLINIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN ALONSO OLMO MA (PRESIDENT)
(787) 944-5516
Entity
Organization
Contact information
Practice address
65 AVE BARBOSA STE 103, ARECIBO, PR 00612-2746
(939) 263-3462
Mailing address
65 AVE BARBOSA STE 103, ARECIBO, PR 00612-2746
(939) 263-3462
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
12/04/2025
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