Provider First Line Business Practice Location Address:
CALLE CANADA CENTRO DE SALUD MENTAL SAN PATRICIO
Provider Second Line Business Practice Location Address:
PROGRAMA SERA
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-783-0750
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2008