Provider Demographics
NPI:1659655488
Name:COMPREHENSIVE THERAPEUTIC CENTER, INC.
Entity type:Organization
Organization Name:COMPREHENSIVE THERAPEUTIC CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMARILIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:787-998-4432
Mailing Address - Street 1:PO BOX 29683
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0683
Mailing Address - Country:US
Mailing Address - Phone:787-998-4432
Mailing Address - Fax:787-998-4431
Practice Address - Street 1:GJ15 AVE ROBERTO SANCHEZ VILELLA
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2656
Practice Address - Country:US
Practice Address - Phone:787-998-4432
Practice Address - Fax:787-998-4431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty