Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | Carr31 Km 40, Naguago, Puerto Rico |
Authorized Official Name and Position | Brian P. Farley (VICE PRESIDENT & SECRETARY) |
Authorized Official Contact | 6158616000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | Carr31 Km 40 Naguago PR 00718 Ph: (787) 625-2900 |
NPI Number | 1659877959 |
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Provider Enumeration Date | 04/04/2018 |
Last Update Date | 08/26/2023 |
Certification Date | 08/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659877959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |