person
Kenneth Shaquille Vazquez
Substance Abuse Rehabilitation Facility in Bayamon, N/A
NPI 1235832163

Kenneth Shaquille Vazquez is a Substance Abuse Rehabilitation Facility based in Bayamon, . Kenneth Shaquille Vazquez practices in Bayamon, . The NPI Number for Kenneth Shaquille Vazquez is 1235832163 and holds a License No. (N/A).

The current practice location address for Kenneth Shaquille Vazquez is 100 Ave Laurel, Bayamon, and can be reached out via phone at 787-579-5581.

Location: 100 Ave Laurel, Bayamon, , 00960
person
Provider Profile Details
NPI Number
1235832163
Provider Name
Kenneth Shaquille Vazquez
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Ave Laurel, Bayamon, , 00960
Phone Number
787-579-5581
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Ave Laurel
City
State
Zip
00956-4816
Phone Number
787-579-5581
Fax Number
person
Provider Business Mailing Address Details
Address
100 Ave Laurel
City
State
Zip
00956-4816
Phone Number
787-579-5581
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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