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Psidep Llc
Adolescent and Children Mental Health Clinic/Center in Moca, N/A
NPI 1790414530

Psidep Llc is an Adolescent and Children Mental Health Clinic/Center based in Moca, and is specialized in Adolescent and Children Mental Health. Psidep Llc practices in Moca, . The NPI Number for Psidep Llc is 1790414530 and holds a License No. (N/A).

The current practice location address for Psidep Llc is Moca Medical Plaza #113 Carr 110 Km 12.4, Moca, and can be reached out via phone at 787-546-7508.

Location: Moca Medical Plaza #113 Carr 110 Km 12.4, Moca, , 00676-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790414530
Provider Name
Psidep Llc
Credential
Provider Entity Type
Organization
Address
Moca Medical Plaza #113 Carr 110 Km 12.4, Moca, , 00676-1106
Phone Number
787-546-7508
Fax Number
Provider Enumeration Date
06/07/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
Moca Medical Plaza #113 Carr 110 Km 12.4
City
Moca
State
Zip
00676
Phone Number
787-546-7508
Fax Number
person
Provider Business Mailing Address Details
Address
Moca Medical Plaza #113 Carr 110 Km 12.4
City
Moca
State
Zip
00676
Phone Number
787-546-7508
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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