Provider First Line Business Practice Location Address:
AVE. LAUREL CENTRO DE SALUD MENTAL DE BAYAMON
Provider Second Line Business Practice Location Address:
URB. STA JUANITA
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-613-8768
Provider Business Practice Location Address Fax Number:
787-795-0691
Provider Enumeration Date:
12/02/2010