Organization
CENTRO INTERDISCIPLINARIO DE TERAPIA Y AYUDA DEL SUR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMYLAH ESCOBAR MA (PSYCHOLOGY)
(939) 940-8180
Entity
Organization
Contact information
Practice address
H-14 CALLE 4, LA QUINTA, YAUCO, PR 00698
(939) 940-8180
Mailing address
H-14 CALLE 4, LA QUINTA, YAUCO, PR 00698
(939) 940-8180
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4060968
PR
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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