Organization
ADMINISTRACION INSTITUCIONES JUVENILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NYDIA E. MEDINA M.A. (CONSEJERA PROFESIONAL)
(787) 847-5000
Entity
Organization
Contact information
Practice address
URB. VILLA DEL CARMEN, SOLIMAR 407, PONCE, PR 00716
(787) 847-5000
(787) 847-5220
Mailing address
VILLA DEL CARMEN SOLIMAR 407, PONCE, PR 00716
(787) 847-5000
(787) 847-5220
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1399
PR
Other
Enumeration date
05/24/2007
Last updated
06/16/2008
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