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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