| La Fronter Center, Inc. Dba La Frontera New Mexico, Inc. | |
|
901 W Hickory St Deming NM 88030-4046 | |
| (575) 546-2174 | |
| Not Available |
| Full Name | La Fronter Center, Inc. Dba La Frontera New Mexico, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 901 W Hickory St, Deming, New Mexico |
| Authorized Official Name and Position | Daniel J Ranieri (PRESIDENT AND CEO) |
| Authorized Official Contact | 5208385600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Fronter Center, Inc. Dba La Frontera New Mexico, Inc. 504 W 29th St Tucson AZ 85713-3353 Ph: (520) 838-5600 | La Fronter Center, Inc. Dba La Frontera New Mexico, Inc. 901 W Hickory St Deming NM 88030-4046 Ph: (575) 546-2174 |
| NPI Number | 1194152033 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194152033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (New Mexico) | Primary |
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