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Organization

CENTRO PSICOTERAPEUTICO INTEGRADO SINERGIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOMINGO L ACOSTA MSW (PRESIDENT/ CLINICAL SOCIAL WORKER)
(787) 557-2677
Entity
Organization

Contact information

Practice address
AVE. LOS VETERANOS KM 136.7, URB. VILLA ROSA 3, A23 LOCAL 2 (FRENTE A CENTRICO), GUAYAMA, PR 00784
(787) 557-2677
Mailing address
URB EL DORADO CALLE JAZMIN A6-A7, GUAYAMA, PR 00784
(787) 557-2677

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
11/11/2021
Last updated
11/01/2022
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