Provider First Line Business Practice Location Address:
237 CALLE FLAMBOYAN
Provider Second Line Business Practice Location Address:
CLINICA PARA EL CUIDADO Y TRATAMIENTO DE LA CONDUCTA
Provider Business Practice Location Address City Name:
LAJAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00667-2509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-808-1835
Provider Business Practice Location Address Fax Number:
787-899-1835
Provider Enumeration Date:
05/21/2007