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Organization

CASA LA PROVIDENCIA, INC.

Active
Other names
Casa La Providencia
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN ECHEVARRIA PSY.D. (CLINICAL PSYCHOLOGIST)
(787) 725-5358
Entity
Organization

Contact information

Practice address
200 CALLE NORZAGARAY, SAN JUAN, PR 00901-1122
(787) 725-5358
Mailing address
200 CALLE NORZAGARAY, SAN JUAN, PR 00901-1122
(787) 725-5358

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
2084P0802X
Addiction Psychiatry Physician
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
06/11/2019
Last updated
06/11/2019
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