Organization
INTEGRAL COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE RIVERA MSW (CEO)
(787) 739-3549
Entity
Organization
Contact information
Practice address
RR 1 BOX 4351, CIDRA, PR 00739-9733
(787) 485-8601
Mailing address
RR 1 BOX 4351, CIDRA, PR 00739-9733
(787) 485-8601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4872
PR
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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