NPI 1770786410

Substance Abuse and Mental Health Services Administration

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Bayamon, PR

Practice location

Address: Ave Laurel Santa Juanita Hosp Dr Ramon Ruiz Arnau, Bayamon, PR 00920-3860
Phone: (178) 778-6362
Fax: (787) 781-8129
Mailing address: Calle Emanuelli 205 Apt.1, San Juan, PR 00917-4100

Authorised official

Name: Carmen B Avino
Title: General Nurse Supervisor
Phone: (787) 786-3620

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 15500 (PR)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Puerto Rico →

Registry record

NPI: 1770786410
Entity type: Organization
NPI issued: 8 Jun 2007
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.